1991, 04-15 Permit App: 91001813 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 NUMBER= 91 1001813 APPLICATION DATE= 04/15/91
:p****•* THIS IS NOT A PERMIT ***a **•
PENALTIES WIL...i... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE STREET= 12719 E F ORR ST AVE F`AI' CE:L:„:= 27542-1747
ADDRESS= SPOKANE WA 992i6
PERMIT USE:-: SEWER CONNECTION -- 8801
)( h: )t SEE NOTE k ii li•
PI...A'T'4= ()()1846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= (3 LOT= ZONE= A(. SUB DI Tw::-
AREA= 000O()000 F /r..i-- F WIDTH= DE"P H•i= Ft./W=
, OF )fi_I)(YS:::: i ;.
DWELLINGS= i WATER .DIET -:.
OWNER= CDONAHU±E, F' E:: PHONE=
STREET= 12719 E FORRE::ST AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
3x*( SEWER PERMIT * * •ri * •xi• * * * * •b: * * h x •r: * * ;t• •x• * • * •r:• * •>,:• is •n; * * *
CONTRACTOR= H , E CONSTRUCTION
STREET= 11847 F.:: VAL.L_EYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
QUANTITY
PHONE= 509 926 8964
FE..: AMOUNT
-10.00
SEWER CONNECTION .I 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE SHA T'TO
PRINTED BY: JULIE SHATTO
SEWER S'T'UB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY nF141h
EXCAVATION
TCI LOCATE BURIED CABLES, C;1.1 PIPING, WATER LINES, ERCT..
CAL.L. BEFORE. YOU DIG (456-8000)
SEWER STUBS ARE:: TO I:{E:: CHECKED PRIOR TO CONNECTION 1(1 INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED T(:1 THE SEWER l' MA:1
* * * k ri• •x• CALL 1 O R INSPECTION PRIOR TO COVER h •ii• *: ai• * •a •ii •ii
* •** • •* 24 HOUR NOTICE REQUIRED ********•
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