1991, 09-24 Permit App: 91006205 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= 91006205 APPLICATION
DATE= 09%24,'91 PAGE= = 01
.......
�• 3r �?• n- ,?• ri THIS :L IS i •i i:! i A PERMIT )3**
PENALTIES tIIi BE ASSESSED F_t COMMENCING WORK{ WITHOUT t PERMIT
SITE .rFF1703 S CLINTON ET FAFfE ir_27541-1809ADDRESS= SPOKANE WA 99216
PERMIT i.lSE:= SEWER CONNECTION •••• WOL..FC:RE::4'T
.
L. a. _.
BLOCK=
OF iLD(3S ::
OWNER=
STREET=
ADDRESS=
001841 PLAT NAME=
•:.=
4 LOT=
00000000 f:1-::
1 ! F
•! : DWELLINGS=
RLir;(_;E.NBE:RG
1703 S CLINTON 99216 ,:s1
SPOKANE W A
OPPORTUNITY TEF.F•tc:i':
9 ZONE= UR -3,5 DIST4=
F WIDTH= DEPTH=
1 WATER DIST -••
CONTACT NAtiE::= DONNA C:•OiuRC::HAl:i`'!I:::
BUILDING SETBACKS: FRONT= ! :::: N(•i LEFT= J11
PHONE=
f.:F.;0NF NUMBER= 509 924 5485
:i:
Rr;HT : NA REAR= NA
A * 3{ P{{i P 3 * ? * PPANri 3 i APi * k k ! e SEWER FEFN!*RM**.******bR3R4 *a{P*$A3*73
CONTRACTOR= cOURcHA:I NF= CONSTRUCTION
STREET= -16402 E:: wrAtl...1. f YWAf
ADDRESS= 't'Fkt=1DAI...E WA 99037
ITEM DESCRIPTION QUANT3.....
PROCESSING FE:: E Y
SEWER CONNECTION t
F'F::RMIT. TYPE FEE:: AMOUNT AMOUNT PAID
SEWER PERMIT 50,00 .00
50,00 ,00
PROCESSED
PRINTED
ON
509 924 54E35
FEE AMC: OT.
10.00
40.00
AMOUNT OWING;
50 .: 11
50,(i,j
BY: jULIE SHATTO
BY: JULIE SF•IATTO
SEWER STUB AS—BUILT INFORMATION 1S AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR AF:'I::`L..I.L.:ANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION i I SEWER R ;'.TUr PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED ?.TABLES, GAS PIPING WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWSTUBS ARE:: TO BE CHECKED PRIOR Tf.) CONNECTION 1O INSURE
THAT
THEY Ey R E CLEAR AND UNOBSTRUCTED TO 'i H E:. SEWER i � A :i. N
K******** CALL !•• 1_J Fi INSPECTION
PRIOR T O COVER p { pbaa Ari i
n
3*3**c**3', HOUR NOTICE REQUIRED 3*333*#ri3
tkkAP�Nt3456-3604 PPi{A3rfik1
.. .. . . .... .. y. .. ..... .. .... ..... .........
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