1991, 12-17 Permit: 91006136 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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
aws regulating construction.
SIGNATURE OF
OVvNERORAGENT APPLICIONDATE
PROJECT NUMBER= 91006136
I%%UED PERMIT DATE= 12/17/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
JITE STREET- 1805 % BLAKE RD
ADDRESS= SPOKANE WA 99206
PERMITUSE- %EWER CONNECTION — WOLFCRE%T/9|5'����
*** SEE NOTE *** ^ '
PLATO= 002752 PLAT NAME= VERA
BLOCK= 192 LOT= ZONE= AGRI
AREA= 00060000 F/A= A WIDTH=
4 OF BLDG%= 4 DWELLING%= i WATER DIET
PARCEL= 2754i-1134
OWNER= JEWETT
%TREET=
1
8O5 % BLAKE RD
DRE%%= %POKANE WA 992O6
CONTACT NAME= KEN IBLING%
BUILDING SETBACKS: FRONT= NA
PHONE=
DI%TO=
DEPTH=
=
R/W=
PHONE NUMBER= 509 924 8248
LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= KEN IBLI.C.;S EXCAVATION
E!KEE|= 10417 E MORGAN RD
ADDRE%%= %POKANE WA 99207
ITEM DESCRIPTION
—
PROCESSING FEE
EWER CONNECTION
PHONE= 509 924 8248
QUANTITY FEE AMOUNT
_ —�����
40.06
******************************* PAYHENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/17/9i 9527 50.00
TOTAL DUE=. DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
__ FEE AMOUNT AMOUNT PAID AMOUNT OWING
�����.......
SEWER PERMIT 50.00 50.00 .00
------------
5O.00 50.00 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTG
SEWER STUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIEE DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE : CABLES, GAS PIPING, WATER LINE,:,.., ECT
^CALL BEFORE — (456-8000)
%EWER c:TUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IHJ;RE
THAT THEY ARE CLEA� A�� � O %T U �D TG THE %EWER MAIN
********* CALL FOR ,INSPECTION PRIOR TO COVER **********
*
******** 24 HOUR NOTICE REQUIRED
-- — **'
********* 456-3604 ' ~ *^^�
****************************** THANK YOU *********************************