1991, 06-25 Permit App: 91003534 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, 1 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
t` t-:. t.? •. t L {.: I NUMBER= •.y: •t o ! :J 3 5 6 APPLICATION
DATE= 06/25/91 PA(:•E:::: 01
.)t...:,,; *.),. * THIS •,• ., NOT O T. PERMIT
PENALTIES WILL BE A ::; ,'• t::.. S is I r F i..? ?•: COMMENCING WORK WITHOUT f.a PERMIT
• x ,
.311L ,AEE—- 10809 )RESS- SPOKANE
PERMIT '
CONNECTION •-' NORTH h. ?:..? t': (.! ?'' c:
BLOCK= '10, LOT= ZONE= At,S1,t F: DIE t'
... �� •tt�
DWELLINGS= '? WATER DIST....
STREEJ
ADDRESS -
VL
_KANE WA 99206
CON
A-iijt,)r.iESS-
C:c:t1i t A!.: ? 4t"it11::.:::: t,;{,? :1
P 1••1C)NF_::::
PHONE NUMBER= 509 922 8500
BUILDING SLIBACKS: ! ?,UN .... 41t! LEFT- i RIGHT= NA REAR= NA
in. •P. R• * * N• * * P• * * •Pt h, rp: •A. •P. •)k * •N:• •h.• id• it• .,. •} ....... h:•
CONTRACTOR- ALWAYS t• 1 t.: 1 .?. ti' ?::.
STREET= PO BOX 74 1 Y 1 °.:
ADDRESS= SPOKANE WA
ITEM DESCRIPTION
.'R;.?L 1::1::.1.:.
PERMIT TYPE
SEWER PERMIT
EEWER PERMIT
:11. •P.:4 f!.. . * •P..) * R •R• -h:- * 'R' it: ?t: . •P... •.......:!!....... )!.:t+. )`.
PHONE- 509 922 8500
QUANTITY FEE AMOUNT
-10,00
40,
FEE AMOUNT ? AMOi.. N ? PAID AMOUNT OWING
50 ., 00 .00 50,00
50,.01.: ..... 50.00
Fokki, JEFF
.11.11...:1:x:: :.`1••Ili..1._1• :
•'.... i:4 t-?.?. ?...1 d.Nr:?..i r NA? 1,ON r AVAILABLE AT ,,ti-. COUNTY
t ? F:tC t`IR OR APPLICANT IE TO FIELD LOCATE E 't D CONFIRM THE
t^!'.T. !�'i:i':,.,.... :-.• UB:: i�'1�;:1:i::t ..i•(" ANY OTHER ELEVATION P'._� POSITION .1:t'ir: t..tL_ SEWER STUB ..?EXCAVATION
TO LOCATE CABLES
CALL BEFOF
CHAT THE.
..................
* iC• •)t. •)U 1fi 9t• i!!. it *
?'-.1.i'.t.1-!G, WATER LINES, t::.t.:?:.
ARE t {-? BE CH i:_ _ KED PRI!_?1•ti TO CONNECTION TO INSURE
::. i:' t... t::. f•. ? : t, i'•1 D ,? t' t.? B S ? i•{ 1.? t.: t 1::.:7.? TO THE 1 E -:•Et,?E?•'.: MAIN
:. i i Epi........ 1 I 1 INSPECTION Pi;i{TO COVER '.p:*t R)s * l
HOUR NOTICE REQUIRED )'1)'".)'• y!..,,.:,(. N..!:.
*********************y:***** THANK 'i i. t (.? * 1:• ?t- •)t• !L• i4 f7 i'!' :Y s..,.• 1l• 7`, a`. •'ti..)r i+.9r, •)F •'tk iR• * it• •}t 3E * JF :!t i[• li• jr.7• •N