1991, 05-15 Permit: 91000850 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, 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= 9-1000850
.#:,`t``:`11r"T) PERMIT
DATE= 05/15/91 PAGE= 01
.................................................... .. 1... • •. , ,•- --• ,••. -.:.:..r..,• t•, N ................ .. ..................... .
}+; 3F )?. �. 1,..+t..,?• 7!. •tk 9r 9?- !!• 9k 1+: 4+: J?- •J?• )+: 1:.1.. �+. �,..Jk• 1!' N- 9?• fk :+k i"` t::. #''� #4! .!. # #. r'i #" 1.. i #': 1�! (.:t I .#...2 r:J )t :+1. !y. �+.. 9?. i?. 3?. 9?• .1!..1+:.1!..1.i+:.Jc .i}. 1:• .1;. �+. h..J!- 4!• 1!• 9t •1+::,r t:. Jt :x,.
i :c. 10710 L. ' . h 7 k' i A V E
f::} T,) t 11`� r:: ,.: ,::::: SPOKANE WA 9'.'"206
PERMIT (.i;-'#:::::: SEWER CONNECTION
S E r :: N
,••. ,, ..:., ... ,. 28542-3513
' ...A T ,_ 001:::,93 '.a NAME= < i 4 t`i!?'E#• #
BLOCK= = i LOT= l'= .• t.J#`?#::.:::: f.".i(•S 1.1 t :l::i I E ••i•:p::::
0 OF t•i 1fv,;;:•- •!! 0t,1- v!• 1 WATER DIET
OWNER= _i. ,...,. : T:t #... i::: , UNKNOWN
STREET= #:::T= 10710 I::: z3RD "! r_I:::
ADDRESS= SPOKANE WA 99
CONTACT NAME= RON SLOAN
PHONE= 509 924 3859
PHONE NUMBER= !; ?"•i;:: Ci': 2 E500
BUILD] ::.ti , S. FRONT= NA LEFT= N ` RIGHT=
iv1i.JrI= ; : d
.j1:..'t+i ..•1C....j;..i;... ,„ :........ •hi •Hirai * ... .. •....... K •i....
SEWER PERMIT
(:`#::ji•.i'F;'r^!1:::'T'(7Ft::: ALWAYS ACTIVE
i::: •T• :::: PO .i:, O Y: 141562
r`t!:(jI)r>°# i':::: r{'OKANI::. ui'•I 99214
ITEM DESCRIPTION
PROCESSING FEE
``EWI:::I•t`. CONNECTION
************************K*****
PHONE= 509 922 8500
QUANTITY #.. F:: #::: AMOUNT
Y 10.0
j
40,00
.. ............ .. .................. ,••, > y,; ... •.
:+!- 3+: •t+: -n: -n: n::a -n: 3+: it -}+i :n: i++: •i+: fi: -i+: �tk -i+: -i+: -i+: i+: ik �tr n: �n: -n: t+: -n: -n: -n::ry: #_ r..l 7 i"# ::. r� # ,:; t.. MM............................................: d+i i- u * •ie -ic
PAYMENT DATE r E:. t..: E...: I'' 1 •+i• PAYMENT AMOUNT
05/15/91 290 (` 50,00
TOTAL # (-SIL_ 71111••. .... „00 TOTAL T G:!!... !"`r••!.. ..j::= 50,00
PERMIT TYPE t t .. .. AMOUNT AMOUNT PAID AMOUNT € i i.•..!. F •! t x
SEWER PERMIT 50,00 50,00 „00
50,00 50,00 „00
PROCESSED rr .,Y: : JULIE r., l : _(..T• !..?
PRINTED :(.t `j : i l..T I...:I: I::: :: t..I A .T...(. t:::t
SEWER STUB ! 1 • U:: t INFORMATION :I: S AVAILABLE ra ..(. .. H E COUNTY
UTILITIES DEPARTMENT (456-604)
CONTRACTOR (::!I:;•' APPLICANT IS TO r'T:E:#...t) LOCATE AND CONFIRM THE
!#
ELEVATION A N !. POSITION OF SEWER STUB PRIOR TO # r•"•t ,? Y (, f i I..# 1:-
EXCAVATION
TO LOCATE
CALL 111::1_.1:::!
RIED
Yt:It1 i:)
:Eii...E •, (;At PIPING, WATER LINES, E(:::•T•:.
(456-8000)
SEWER ,.,u 1 tT, , ARE ..t.(..t BE
CHECKED PRIOR TO CONNECTION (.i INSURE
THAT I t"#l::.Y (-:! R t:. CLE'
.:I...1::. (••1 i'ti r• i !t? T) UNOBSTRUCTED TO THE i-. SE1.11..., , MAIN
n: -n: •Jk• n: -n: -n: * •n: -n: CALL ! !. i Ft INSPECTION Nj::' R T !: I R t O COVER •n: •n: •n: •n: rk• i!• •n: n• * :+:
.................. 91#11``. NOTICE REQUIRED **ai.:u**.+;.r..j:.*
nnnx:a rnn156-3604 **K*:******
'i!-'1!' 1!- Jk !k 1:.j,..j(. .j+..j:.:+''Ji' )!' jt• ;+e• je• * 9r• :t'- )+: }:. * .ji. *.j,.:J(. .ij. :J:. ji• :J?' j?' 9t' THANK (o 1,,. i-. * !-. 1+: f!. * .n..J?.:n. _+.. J?. 1`.:+t 4t• 1r. 1?. .J?. .J?..Jr .1?. :k.!+..JI. .Jk 1+. Jk :++. .!+.:µ.:R' at• il. .n:.