1991, 11-18 Permit App: 91007934 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/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 REOUIREMENTS/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= 91007934
APPLICATION
DATE= 11/18/91 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIES W]:IL.. BE -ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1010 S BLAKE RD PARCELO= 22.544-2902
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - WOLFCREST (91-S57)
*** SEE NOTE ***
PLATt= 002945 PLAT NAME= WOLFCREST ADD
BLOCK= 2000 LOT= 2 ZONE= SFR DIST = F
AREA= 00000000 F/A= F WIDTH= DEPTH=
OF BLDGS= i 4 DWELLINGS= i WATER DIST =
R/W= 50
OWNER= BASSETT ETUX PHONE=
STREET= 1010 S BLAKE RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ALWAYS ACTIVE -- RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT== N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE
STREET= PCI BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEL..D LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TC) LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR. AND UNOBSTRUCTED TO THE SEWER MAIN
*.M.******* CALL FOR INSPECTIC)N PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************