1991, 12-09 Permit App: 91008490 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 permiVapplication 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= •91 00(3490 _ - .AttEhMAITON1
DATE= 12/09/9i
PAr:E=• 01
*****ae_,THIS.:ES NOT A PERMIT ****** .
PENALTIES W7:1...1... BE ASSESSED FOR COMMENCING WORK'WITHOUT A F'ERM.T.-L
• - "
SITE STREET= 2304 S -FAWN DR' PARCEL4== 29541-1614--
ADDRESS SPOKANE WA 99206 ,.'•1 .
PERMIT USE SEWER CONNECTION -- (DISHMAN MICA)-9i--Si30
*** SEE NOTE_ ***
PLA T'>'= 000379 PLAT NAME=.CHESTER TERRACE 3RD• ADI). .
BLOCK= 7 LOT= 14 :ONE= SFR DIST:==
E
AREA= 00000000' -- "F/A="F WIDTH= • DEPTH= R/W=`
DE- BLDGS= - i 0 DWELLINGS== i WATER D.T.ET =
OWNER= SHAMBL...T.N P PHONE= .
• STREET= 2304 S FAWN DR .
` ADDRESS,, SPOKANE: "WA' 9920 ,
CONTACT NAME=—ALWAYS-ACTIVE- - . - PHONE: NUMBER= 509 922-E15.90
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT== N/A .REAR== .N/A.
********fl*****3H***3**#*3r3x*33*3*3*** SEWER PERMIT
CONTRACTOR= ALWAYS_ ACTIVE
STREET= PO BOX 1.41562
ADDRESS= SPOKANE—WA 99214
J.
PHONE= 509 922 3500.
4`L
ITEM -DESCRIPTION — - - QUANTITY-'-: FEE' AMOUNT
PROCESSING FE::E::Y" 1 0 , 00
SEWER CONNECTION _ i " 40.017.
—PERMIT'TYPE ---" FEE:- AMOUNT AMOUNT PAID --- AMOUNT OWING;
SEWER PERMIT .. 50.00 - • .001 1 50..00.
50.00 • .00 0.0()
PROCESSED BY: DOMITROVICH, ROBIN
.PRINTED BY.: DOMITROVICH, ROBIN -
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE: AT THE COUNTY
UTILITIES DEPARTMENT (456-3604) _-
-CONTRACTOR OR APPLICANT -IS -TO FIELD LOCATE AND CONFIRM THE:
ELEVATION. AND POSITION OF SEWER ,STUB -PRIOR 'TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING.;, WATER LINES, E -:CT-,
CALL BEFORE.. YOU DIG (456-9000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO. INSURE
THAT' THEY ARE_ 'CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL_.FOR INSPECTION PRIOR TO.COVE:Ei **********
********* 24 HOUR NOTICE REQUIRED **********
****.*.*..*.*.*., 45'5--3604-.
)i****=u********iF*if******
E THANK YOU *********************************
•'t : i.-,
.u.