1991, 09-23 Permit App: 91006136 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 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91006136 APPLICATION DATE= 09/23/9i PAGE= 01
•***** THIS IS NOT A PERMIT ******
PENALTIES WIL..L.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
S]:TE:: STREET= 1805 S BLAKE RID
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWE:R CONNECTION »•• WOLFCREST
•** SEE NOTE. ***
P ARCEL..4_:: 27541-1134
PLATO=
_ATO=002x52 PLAT NAME= VERA
BLOCK= 192 LOT= ZONE= qG R E r L 4 y
O = �..
AREA= 0000OO(;O F/A= Fl WIDTH= DEPTH= R/W=
OF BL_DC.S== 4 DWELLINGS= i WATER DIST
OWNER= JEWETT PHONE=
STREET= 1 805 S BLAKE RD
ADDRESS= SPOKANE:: WA 99206
CONTACT NAME= KEN TBL..INGS PHONE:: NUMBER= 509 924 8248
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT= NA REAR= NA
• •a#*******is*N*hk:•iiiiaki (tti+kii.XRhA SEWER RE::RMI7 '. 'u•ii*A:••a*Kx iikP: t4 N:•N:****AA3t (*),.*.x N•
CONTRACTOR= KEN Trti.«:fNGS EXCAVATION PHONE?, 5') '924 ti ?4:i
si E:E T= 10417 E MORGAN RI)
ADDRESS', SPOKANE WA 99207
ITEM DESCRIPTION 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: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER R STUBB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER I...]:NES, ECT.
CALL BEFORE YOU DIG (458-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE. CLEAR AND UNOBSTRUCTED TO THE ,SEWER MAIN
****ik*ii** C:AL..i... FOR INSPECTION PRIOR TO COVER • ;f•1 ******
****** * 24 HOUR NOTICE REQUIRED iiit•*#ii•***ii•a
is**k[*}+k•ii* 456-3604 . ..k•a*r liiitt
it•3t•31** •***** •*)t•i4•atiLik*itii3{•3i* *3L•il•3{ THANK YOU 3;•* •* •*** *•*** *********•*** O 3 ****•