1991, 11-27 Permit: 91005212 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
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005212
=:},.}5 ISSUED PERMIT
DATE= ,11/27/91 PjA;l y1^:.• 01
*********************K****** pERmIT TNEoRKATIoN * * 3 3. * 3.3. * 3.3..:R• 3i• .. 3'i N• 1. 3.. Ni i=i- * -i. 3£- 3*. 3'i •ji• •1.
SITE STREET= -10717 E 23RD AVE
ADDRESS= SPOKANE uW AAt 99206
PERMIT USE=
SEWER CONNECTION — NORTH KC)1<:OMO
PARCEL4=. 28542-3410
F 1.-A t v= 001393 9 PLAT NAME= l; c: <OMO • c:1WN "s 3. E E (COPY IN PRINT
BLOCK= i LOT= ,f i,r- :.:•• :, , B fl •r E •r• 4....
AREA= 00013000 r'• / A:;;: j:: WIDTH= 100 DEPTH= 130
xOF M... tr ,..! . DWELLINGS= , WATER rrS} ._.
OWNER= M-rJ 13:�t DONALD i
?
_
E 23RD AVE
ADDRESS= i1`f.KAi'N!:. WA ?'9 06
CONTACT NAME= .R C) N _1 A
r- ,..
BUILDING , s 1::. :: t•� • • , :.: t" 1,� t.! !,: ! .... NA LEFT= NA
:; } . .i .i .i .. ? . + , 3, ..i .! ........ ..... ., .., r_R ,..,,...
}: •i!: •'t:• •ui :: •�::: •}t• :: �i• : •i'• .: •h:• •u; •}e ;: •}: •?�: •?r •n: •x. ty ;,..rt- •u: •'s}: •}_::n: ,'': E::. isi k:- r�•: i'' t::. R i''I .1.
CONTRACTOR= ALWAYS tA,[ t. t .1- 'pE
STREET= PO BOX E
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSINGt�� r:' E F
SEWER CONNECTION
PHONE= 509 924 • - 4 ^:
• PHONE ,lNF:R: 509
;y 92 85'<?:0
RIGHT= NA {A1 I''.1=f 31•i ::. NA
********K*********************
QUANTITY
PHONE= 509 922 e5oo
FEE E Ai-1i_.i! it'J_f.
t''i ='•i
i.}
*...AH*33h3*K..*3u*3kyfi3.Pfifih.nrfNSN• SU • 3 f; r : i r ,}*naR*sa
r 3 . +ti 3 { i3**N . : »
PAYMENT DATE
11/13/91
11/13/91
11/27/91
TOTAL DUE=
PERMIT' TYPE
•
SEWER PERMIT
N'!.'l. t
REcEIPT:i.
8633
8633'
9(.:.T
.00 ? 1E JTtA:k..• PAID=
FEE AMOUNT AMOUNT PAID AMOUNT
Ciw J: NG
50"00 50.:0 00
50.00 50.00 .00
PAYMENT AMOUNT
00—
PROCESS 1: DBY: JULIE SHPTTO
PRP- :I::.!j BY: DC)MIry1•':t. VI4.:H} ROBIN
„
SEWER ,s _. B AS—BUILT .l. rq •- O F M ? = s- i! E :t IS AVAILABLE i :E T !. y E COUNTY C:IUiJTY
UTILITIES DEPARTMENT (456-3604)
coN I •ii;i'.: c:i OR AI•`r•`1...;.t•:AN 1 i:: TO 1•• 3:E1. -..D LOCATE AND CONFIRM THi:..
_::.1..:::.4 Fe : _.-!E'v AND POSITION '•..?r ::.Wt .t 1 UB PRIOR TO ANY t..) t r1::.1•°
EXCAVATION
TO L.CICATE. BURIED) CABLES, GAS PIPING, WATER
CALL BEFORE YOU DIG (456 ; 4-,00)
1 T ,..
SEW. :; STUBS ARE:. TO B::. CHECKED PRIOR TO CONNECTION TO INSURE
THAT 1 , HE r Ai-
CLEAR
AND UNOBSTRUCTED "" i HE SEWER MAIN.
K******** CALi ."f'fJ PRIOR TCCOVER *33P3t**R
*
ic1?r39t3.1rNOTICE. REQUIRED-
•**********
******K** 3i6_,^74 r*3. .r : }r
.
'1C •1 k Fk •A: •}t' 9k )t- ?t' tt• ) •i 3;..jl.:R. 3;. tNr 3.. 3,i 3c..Pi 3k• N; 3k 3=i 3't 3C• i==i 3?• 3k ;i7 3:. !!• THANK you 1 3=i 9.3f 3i• 3i• s;• ;ei. 3i. Vii. ;y. s. 9+i •isi 3•`. iR• 4!• it=: 3}i tFi -}t• 3+i i+i,, 3,.:y..}f. ;o• Nr ;r.: 3'i i4.9k :+t• •1>•