1991, 11-20 Permit App: 91008026 Sewer SPOKANE 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
APPLICATION
,.:.,ri.t,.;±:.t.: ? ?`•?..:±'`:?::.`:;:::: •.�'•? ?;??,;}�-i?;!:':: T;A-i•E •• 11 /20/91 PAGE= 0
PENALTIES WILL BE ±-t:3:: ?:: •, D FOR COMMENCING WORK WITHOUT A PERMIT
SITE ?":I...... ? :.. 1704 ,_+ CLINTON ET :`A'e'':1:::.....4^'• 27541 -1905
ADDRESE= SPOKANE WA 992i6
PERMIT USE= :i?::.t::ti:.i+, CONNECTION ;,cti.;l..."i..:i'{±::.E4914 (91 —E73 )
t'!!':y: i+E E NUTE '}?'•k`:F!:
PLATO= 001841 PLAT -jt•"'EI'IE:::: OPPORTUNITY ..?_k:.R1iFAi '.
AREA= 06000000 F/A= F WIDTH= 87 DEPTH= 140 R/W= 50
;• OF BLA) ,-.,:=: . ... 1.. t` t ,:,r WATER tJ ::::
OWNER= .DON, r• .tt•-r:: L ...t..nt,.i':.= 509 926 }:i ; •
i Ris t: •- -1704 E CLINTON ST
ADDRESS= EP i;K A a E WA 99216
,
CONTACT NAME= k.:t.?t.!I'c: '!AI1•''je: EXCAVATION PHONE NUMBER=' 50:i' 9•`i8 54;-
BUILDING ,3i.:. ? ?sf•rt»?'.,:: : FRONT= ...t,'/fit LEFT= N/A RIGHT= N/A REAR= N%'r:.
:}}:'P:'I}:'A:'P::}!:*•}?..!,...F::R..}}..J?.*.J?..!,••}}:}?'$}::L:i}::}!::U::}}:.}}..x.*.Ji..J}.
s?::.W L..!, PERMIT '}?'Jar'Pi'Pi'1+:•Jk'R'Pi'lt.k Jk:J}...y.j:.:J}..:.:'Fi•J!:••?i•Pi-Jei'Pi* }i*'a:'7{'**•1}r
CONTRACTOR= t.:t..t.!t':t..:H('t.i.t=.1::. CONSTRUCTION t''"it..!J Y.:. .:i'•:i':• :}J24 'ar't •
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE i?tetr!UN ?
PROCEING 10 ,00
t.:t.!lu N#::.C T 1.i.:!Nt
PERMIT TYPE FEE AMOUNT ';M O U N_r PAID AlMIL Ii.!N { OWING
SEWER PERMIT '.:>0;! 0 .:',:itai 50.00
50,00 00 50,00
PROCESSED BY : ? ?" . } o v . »
CROBIN
PRINTED BY :
.ii-ii' 1_Ti-.. `jr 1.c:lt , •.iiB1.
SEWER it,::•f AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )}:_
CONTRACTOR OR APPLICANT i.:; TO FIELD LOCATE
POSITION
AND CONFIRM
N: IRM - H :
ELEVATION f ` : t " SEWER STUB PRIOR f ( : Y
OTHER
EXCAVATION
' LOCATE !,';URIE?? CABLES, t,;.A. PIPING, WATER ER LI±` ECT ,
:-.:. BEFORE
t.;-';t i YOU tt.' ti.i.G (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR ; O CONNECTION TO INSURE
THAT i .'tE 4 ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
r!}..t,..i!,,iJ:}}.:},.:}j* CALL r PRIOR:''' INSPECTION_ t_? COVER 'i!i i}}i:?.*'p*•i!•*{v: !i
_
.. HOUR N'•�t.` .I.±:i' REQUIRED }}r 1{.)j.j`}L.j}:t}:.:J!.•i>':p.
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