1991, 03-08 Permit: 91000979 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1333 BF ,^,ADWAY 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF /
OWNER OR AGENT APPLICATION iL� ui DATE
,• RO i ( ... NUMBER=
t.T.i. 9`".:..:'7%` .}.,SUED PERMIT DATE= 0:3/00j9i I"f4r;r::'M: isj•t
:N• * * )i• •n: »: 1?- * i!• * * •N: •n• * -n• •n• ii• * )r * iE * -tr >>: * n: * •N• PERMIT INFORMATION *3* * )i• * * )r -ii• : : >; ii' *1. 'r 3i * * •i r. N- o a * *N
SITE STREET= 2806 BOWDISH RD
ADDRESS= f:,'.t= ,<'"POKANE WA 99206
PERMIT USE= SEWER CONNECTION F:(::3R RESIDENCE/ SOUTH KO..il<OMO
)i• *• > EE NOTE :N: )i-
PARCEL4= 28543-4101
P L. i 1 . p3.:':
0 OF li}...I:i1:;:i::::
41
PLAT NAME= K i:j}c c)I' O .'t'OWNE:i. ± i:::
rt— WIDTH= DEPTH=
},.}.::
OWNER= MASON, DONNA PHONE= 509 927 8257
STREET= .i7; sS'.) ' I::: MISSION AVE
ADDRESS= SPOK.AN}::. WA 99206
CONTACT NAME=
ArE:F1L } ` BROTHERS
ROiHr;
PHONE NUMBER= 509 926 9007
BUILDING SETBACKS: }:(Ni_ Nr_}FT:NA RIGHT=
N i::t REAR= i A
N NNNNt n : l : k NF*NNNH�fNC i�Ni Nt ASEWER ' ti " t t PTP* * tiikPA)* Ntk?N4N* t 9 b * nNN*
CONTRACTOR= HOLTEN BROTHERS
TF•`.E::E::T:_. 117:'=1 E 8'T'1I AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER C:1:IjJ1i}:1:::'i':}:(i3
PHONE= 509 926 6978
('RANT]: -(':T FEE AMOUNT
10.00
t
SUMMARY :„,.ii....*)i•)k•j�:h:•ii••n: -it•)';*•: :j*m:*•Pi**N: - :-iii*
r• ii• �G )?• -x- •i�:• i•:.:N, .N..N..n..N: •�?• * N: -N: r: •i?• i�: �: -ir ar •� N N n >' tt a h h �' .:E 6•i `t' 1`'! t:. t . i
PAYMENT DATE Rt:: rE::F.P :4: PAYMENT AMOUNT
03/08/91
ti~i1:iU ±-
03/08/91 1124 50:.00
TOTAL T'AI.. T..ii.JE:: ;, ? TOTAL PAID= soA0
oo
PERMIT I TYPE FE::}::: AP1C:It.JN•IT AMOUNT PAID AMOUNT OW:}:NC;
SEWER PERMIT 50,00 50,00 „00
50.00 50,00 AO
PROCESSED BY • JOHN I._ARSON
PRINTED BY: J1:?I'•IN i..AR; CiN
SEWER STUB AS—BUILT INFORMATION (:)RMA f']:CiN :i AVAILABLE BJ...I::: i", 1 THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR AFP}...]:?::AP4T I,; TO i:-:rE}...D }LOCATE AND t::ONF']:RP1 THE
ELEVATION AND POSITION OF SEWER STUB P1:}T11 ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS f::}:F''s:N(r, WATER LINES, E::1::T:.
CALL BEFORE C i i.J DIG (456-8000)
SEWER STUBS
. I :,fti FTO BECHECKED I(��;F]i%T11CJN
E•hT:• ] C 4 -(? -• •tt J
.
THAT THEY ARE CLEAR :Ni }N(T;Tt'Ei73Tiitxt)jx;)p*p1f}}FOR }PCPF((}tN It}){(i11F)tntinr!n
24 H311rf NOTICE REQUIRED ED ' )l•)')':'..1';lH)tP:y:
:1'�
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