1991, 11-01 Permit: 91006243 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91 006243
ISSUED PERMIT DATE=
iiiifidi}tri i4 fi dF i(dE i(iididi*di)i#li}(- PERMIT INFORMATION tr is ii
SITE STREET= 1319 S BLAKE RI)
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION .... WOLFCR[.:ST.
*** SEE NOTE .>tdidi
PARCELv .. 22544-2017
FLAT .= 000172 PLAT NAME=:: BEN'S EUB
BLOCK== i LOT= 7 ZONE= AG
AREA,, F/ A-: F WIDTH= 1
4 (.,i- BLDG;;_:: ,. DWELLINGS= i WATER LI.
OWNER= CAMPE::i..i..,, ,.JAC.K. PHONE=
STREET= 1:319 E BLAKE RD
ADDRESS= SPOKANE WA 9920
CONTACT NAME= LEONARD PI-jONEf.
BUILDING SETBACKS: FRONT= NA I...EFT=:: NA RIGHT=. NA
***Mxdal(}i.l¢it}i}f}i ti.9P}piE}kir)ilil[)i)rlrh*h: SEWER !='E::RM11 *;i
CONTRACTOR= H y .'i CONSTRUCTION
STREET= 11817 IiE VALLEYWAY AVE
ADDRESS= DRESS:'= ,SPOKANE W1-1 992C'
ITEM DESCRIPTION QUANTITY
PROCESSING I"E:.L:.
S!::.(,U k CONNECTION 1
PHONE-, 5C9 9:6
_
FEE A01.3e,7
kt
ei}}-0id(}(ahr4g}hgi(dr r i(r i}i }} PAYMENT :Iy F
}(}hP}iiB }ii M1
PAYMENT DATE rtF:c i::E r rO
i i /O1 /91 82.4
l O1 fit.. DHF. AO TOTAL RAID
PERMIT TYPE FEE AMOUNT f-MOUN! PA1:1)
SEWER PERMIT 50.00 °50,00
50.00 )0 00
PROCESSED BY JLIL.IE SHATT'O
PRINTED BY: JULIE S!-iATTO
PAYMENT AMOUNT
f,ia rJ
0
AFA 1 Ni OWING
SEWER STUB A_S--B11).....T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE
ELEVATION AND POSITION OF SEWER STUB PRIOR
EXCAVATION
TO LOCATE BURIED ._h7.J_..L:.Jr GAS .. _ PIPING, WATER
H
CALL BEFORE YOU DIG (456.....8 1000 )
SEWER STUBS ARE TO J([ CHECKED PRIOR -('O CON
THAT THEY ARE CLEAR AND UNOBSTRUCTED T:.
iir)riudc Ntiid('di CALL.. FOR INSPECTION PRIOR TO,
drymi[ .:***•)i:ri 24 HOUR NOTICE REQUIRED
*it
THP
INSURE
nmneao..s....a..: n.. x.. nc m ndi }dvd9i dnvroTHAW
.E.Y 7 l U *****K*************:* .K**i). i d:i