1991, 10-31 Permit App: 91007440 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
PRi..!:!1::.t... ; NUMBER= 91007440
DATE= 10/31,191 PAGE= 01
}i } }+ .+• ,x ri THIS ! ,> `, N i.! # A PERMIT* 1t •'r•:• 3t- * •' .
PENALTIEE WILL BE ASSESSED FOR COMMENCING WORK WITHOUT
A PERMIT
EITE E ,:• !REE: ! ..:. 1715 S BUR.N:. RD
ADDRESS= VEP`r•`•?j;AL!:' WA 99037
PERMIT USE= S!W!ti CONNECTION .
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NOTE E yi!t:;is
E'(ar;i:EL.,:;,::::: 26541-2013
PLATO= 001316 PLAT ! NAi'1E::::: JANSON ADD.
BLOCK= LOT= 13 ZONE=
AREA= F R a:: r'
WIDTH= DEPTH=
BLDGS.. i 1I,.#.!.[„x..Y WATER -I:? .VERAA
OWNER= BAKER, 1: i_` PHONE=
STREET=
— ••i' 1 5 E BURNS RD
ADDRESS= `r:: Vr.:RAT')4?1...1::: WA 99037
CONTACT A":' , w : CONSTRUCTION . i-ia
; PHONE NUMBER= 509
BUILDING -.TBACK: NT= N/A LEFT= /A RIGHT= N/A REAR= N/A
R;`Wc:: 50
8964
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s. !:: ,.j 1::. !'S PERMIT 'P: ii:- :ii• ;n; :}+: 'Ni i'+i +:• 'ai 94 i++i i+i i+i i+: -;i! * ?i+i * * -;+:• in: 'Pi iif i+i it• ii}: i+i 'Fi i+i tR•
CONTRACTOR= H t. ,::• t t i#'.,• # #=•.t.
STREET= 11017 E:. VF?1...1_.i:::r1, ?
AD i.} R ESS— ,.: l-. t, r r;. A '41::. WA 99206
L.
PHONE= 509 926 0964
ITEM M T/ESCR1:r#.l.i.. N QUANTITY r:.r:E:: AMOUNT
`( 10.00
•1 40.00
PERMIT i i i t' E: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT r_i1..00 .:00 50.00
:>R!w!i':!.•,`i `INc= FE::E
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r' r .1: Iy1 T E:: T j d:{ Y : T Ci i' I _I. R !..i':;' _ C H ,
::... t !-. #'S STUB AE—BUILT 1_ , .} r • 1.; R ;''# A ! • I t_ i !`t IE AVAILABLE A ( T H E COUNTY
U,ILITIES DEPARTMENT (456-360
CONTRACTOR OR APPLICANT
i...ICAN i'
ELEVATION ;:,.it, POSITION is
::•. t„.f+?V {'i 1 1. I.IN
TO FIELD LOCATE AND CONFIRM THE
A R STUB PRIOR TO ANY
OTHER
LOCATE e_ BUR1.Ei? CABLE`', i:.,r:? .' :.1:PI •iC; : WATER i NES, .-I-•,T
uoL.t... BEFORE YOU DIG (456•••-.000 )
,:sE:.14E#'S ,.: !UBS Ar;l... TO BECHECKED PRIOR To CONNECTION -1C, INEURE
THAT THEY 4t!CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*******K* CALL FOR INSPECTION .7trTO COVER x- * i~- * -r: * -N: •r:• i•.• h•
..nn}.r}: e}.ri -„, HOUR NOTICEREQUIRED
:}i; bi- i}• iR• iE it it iE * i;.
tt *.}?• r:* •m x?• * a• 456-3604 .j...........i
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JOB ADDRESS: 1 5 t.tt24\)S
SUBDIVISION: "-.2(4-41 — 2±I .SlooN/d4_ LOT: 1 -3 BLOCK:
OWNER: 404r(-- rz a 10 PHONE:
RA -1
Etp
ADDRESS:
CONTRACTOR:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY:
PHONE:
-
74 -No