1991, 06-25 Permit App: 91003533 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
P .v_E : NUMBER= >,a:3>__APPLICATION . , A r E _ : 06/25/91 PAGE= 01
•••••••••;. THIS r NOT A PERMIT 34- •}i ii ri. _�;.
PENALTIES WILL BEA{:,SE:.,s1'E': i FOR r. COMMENCING WORK WITHOUT
r! PERMIT
SITE STREET= 30.;'2 „ +_+i...ENN 1••.,D
ADDRESS= SPOKANE
i -OK NE LI 992 06
PERMIT USE= SEWER CONNECTION ...- SOUTH #:i:::+#<:C)r1fi
PLATO= 00-1393 PLAT NAME= i'; 11i';l.Jr'i1:-1 -r•C WNC`1..1.i::'
BLOCK= LOT= ZONE= UR 3,5
AREA= (},;},ytJ',-)?:}?J'•:? F/A= !•• tAl.#.>.i..r.i..#:::.
OF BLDGE= 4 DWELLINGS= WATER DIST
PARCEL4= 28543-5213
:DE:P'T#..#::::
C:'ii`•.i:::F°:::: >''tr"3F::i 1#:::x:. PHONE—
STREET=
:>i..iCJi~ F::-
Til#«.#::.7 .... 022 GLENN RD
ADDRESS= , S :::: "1 I% i 99206
CONTACT
N+•"•it'i#::::::. RO N S#...c:i N P:,#..Ij:ii'-jI:: NUMBER= ri'}':> 922 t"t'-'>>; 0
BUILDING SETBACKS: #=i l::ii••?' •= NALEFT= NA (Y F :F.Gi.i'•r':::: NA ! Ft'F:i iz::::: NA
34•'Pi •i!t'N• •!C 3{ 'Pi'Pi •Ai 3k......}(... . * * •Pi •.:- .. -P: 'A: -N: '.. •},; •J,:• •}i: sFE r PERMIT A*
}p)hI k { Pk NPP7R l 9P9PP4 PR PPh k
CONTRAM Rr`;!_?.; I (:IR:::: ALWAYS ACTIVE
RELT= PO BOX 141562
ADDRESS= = St r1 li', r=!Nt::. WA 99214
PHONE= 509 922 8500
:#:TEi•'1 DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING 00
SEWER CONNECTION _.„ON 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID Ai•'1r:JUNT OWIt-•1E;
SEbJER PERMIT ":;(:).00 „ }0 50:.00
50,00 „00 50,00
PROCESSED D B7': JOHN i...11R;:>..N
PRINTED BY: JULIE ,`.'Fir TTO
SEWER STUB B r••}S....,::t.i:#:L f• INFORMATION t'.ION I AVAILABLE AT _r.#..'s: COUNTY
UTILITIES
Ii1r!E;DE=r, M: (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF •,+..+,jEi'=: STUB PRIOR TO ANY 1.1FH#:''.
EXCAVATION
TO LOCATE BURIED CABLES, GAS P1:F'INC;, WATER LINES, ECT,
C::A#...L.. BEFORE YO+..? 1):i:G (456-8000)
SEWER STUBS U::i,t- AF•.E:. TO BE:. CHECKED PRIOR TO CONNECTION TO INSURE
THAT -. A E:' E:. CLEAR r=! N %! UNOBSTRUCTED TO T H E SEWER MAIN
91: •k: n: P: A: 9?• N: •)?• ;'C CALL !" ..I '_•'. INSPECTION PRIOR TO COVER * •it- -hi •ic •ii -},: 34.:x.:,?• .n
i?- •n.• n- •Jr Ti• >t- ii• * k• ' t3 HOUR NOTICE REQUIRED 9?' 3!• jY jr i>• 14' 34' 3>.' 34' -){•
.it..};• 3'. -u:.I,:..1' •1' .p.3,. 456-3604 3': n: 1':• •n: P::P..},..)i )t .p.
3i• •it 34- •'!i 3.34 34.3i . 34..) 3;. 3;. .*.ri..}t..,;. ;;; 3,:. 3;. 3;..},. 3t. n. * 3r. 3t. )t. 3;.:,;. n. THANK
YOU 'R' Y: )!• 34.3(. 34.34 3;. Jr * ;if• 3k 3': )!- N: R' * 3r R• 3t• 3r'rr it -'k' 3t• 3}• 3,: i;. 3:..74- 3? * 34
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