1991, 03-26 Permit App: 91001328 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 1_MB:R= 91 t ? : 3 AGAPPLICATION DATE03/26/91 : , ,.: .. 01
z { * , 3 T ,PERMIT
{ .; M {! y ) : :
PENALTIES WILL BE. ;' . } COMMENCING WORK WITHOUT
IflT
A PERMIT
ADDRESS= ;:'1''tiK;''iNE WA 992(:6
PERMIT 1.Ji:E:=: SEWER CONNECTION
PLATO= v!:_: 0(i1 ?:5..".5
Ar= 00000000
OF {•=
PARCEL4= 17543-1732
A87 —i
PLAT NAME= OPP.TR. —354
taW{::.i...i...:i:NG,;:::: i WATER DIST
:;W(4EI..t.._ .. _..I iI::•t:::.' T: N%;' i
STREET= 110 1'J t" f i 1; R t RD
ADDRESS= ,.SPOKf!E•`1e :. WA 99206
i:t: L1 _::
CONTACT N.1AtI1:::.._ LEONARD PHONE NUMBER= 509 926 ....`;',-
BUILDING SETBACKS: FRONT= = NA LEFT= NA RIGHT= = +JA REAR= NA
.. . . .
•x• •){• 7k i+i •){• •jr, ?Y :!r -,r �)+: 9i• it * $$ •)4 •)t• •ii• •ii• * ki 9{• :+) •hi •',i- * -1+i -)+: fi: •i+:• SEWEk PERMIT :+i d+: ?!: ii hi it * 3+i u •)t• ii 7+:• i+i •Pi 3{ 3+i 3+i •)i ){- i++: -)!; 3{- * -)+: * 3+i ?6
CONTRACTOR= t..1 :1': CONSTRUCTION
STREET= REE:::•T•::- i 1 +_f { i t::. %i L 1F T'14ht T AVE
ADDREE= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
':' 1.:' I: j l'i : T. TYPE
SEWER PERMIT
FEE AMOUNT
50.00
50.00
QUANTITY
PHONE= 509 926 0964
I!" AMOUNT
AMOUNT PAID AMOUNT OWING
,00 50.00
.00 50.00
PROCESSED B Y : JULIE
+• -"• . E . TT:..,
PRINTED D Y: JULIE >' 1-1 A'E T T• t::;
SEWER STUB AS—BUILTINFORMATION lS AVAILABLE "_ ( "1 ,
t ? i TrUTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT , TOLOCATE•.:1� rsrCONFIRM
THE
ELEVATION AND POSITION O1:` ,..:EWER E STUB PRIOR TO ANY OTHER
EXCAVATION
TO i l...Oi.:r i! E Bt. i. IED CABLES, i;, A t PIPING, WATER LINES, ECT,
,.r..!l...1... BI::.FflR1::. ri,i1.1 DIG (•,�5r`•:,' S : . -i )
:S'{ .ihil"i:!STUBS
THAT THARE
ii i!: it:k) 3i i{• * i{
..1.c BE t:1"11:::1::KE:i) 1"1'x°:1:i::IF TO 1::::i:::tNi'•fEl:.`•T•:}:Cli+1. TO INSURE
l.:. f i i': AND UNOBSTRUCTED TO ? T 1..11::. SEWER I14T1'+i
OR INSPECTION 1::' 1't I i_ i i TO COVER **)****KK
HOUR NOTICE R1-1 J s:i:1 °: ::7::. -n: ti ii- ••,i iE # to fE fi *
456-"3604 -)¢.....Ik9{ P•.....)k .p.
r. J,. yt..J,. *.j,. *.)!- •,c •rr * *:r n- * •n u• :e• :r )+: * :; :+r Ff i~ it• ti- •r•: -,E iY- )r ??• THANK t Via; ti Y t.? t.; •n- 1;.:n• * :+r it- i?• it- •is• •ir it• iE iF •)::!!: iE -)t ;(• ?• }?. i;..h: •)+::+E •ii• * •i? ii r- :a..); sE i+:
JOB ADDRESS:
/ F---a.2A
SUBDIVISION: ' 4 LOT: BLOCK:
OWNER: f 1; 4 e %T PHONE:
ADDRESS:
CONTRACTOR: 1� r
ADDRESS:
PHONE:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: