1991, 06-18 Permit: 91002314 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 orlocal 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=..91002314 ISSUED -PERMIT DATE= 06/18/91 PAGE= 0i
******3(4******* ***1********* PERMIT INFORMATION W*******"********************
-• SITE STREET= 806-S HOUK. RD - PARCEL.9=1 22543--0909 '
ADDRESS= ..SPOKANE WA 992i 6 - - — -
ul
PERMIT USE= SEWER CONNECTION_— 8801
*** SEE NOTE ***-
PLAT0= 001840 PLAT NAME= OPP.TR. 1--354' .- .
BLOCK= 1 .LOT=. 1 ZONE=-AGSUH' DISTt= E.
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W.
• OF BLDGS- i .. 9 DWELLINGS= 1 WATER DIST =•
OWNER='SEVERSON, ED -C - PHONE=
STREET= 805 5 HOUK RD —
1 ADDRESS= -SPOKANE WA.99216 .. .
CONTACT NAME= TOM -STONE EXCAVATING - PHONE NUMBER= 509 928-7710
-BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA i REAR= NA -
*****************************.SEWER PERMIT. ************************#*#***
CONTRACTOR= TOM STONE EXCAVATING
STREET= -PO -BOX 14154.
ADDRESS= --SPOKANE WA 99214
ITEM.DESCRIPTION
PROCESSING FEE
SEWER -CONNECTION
PHONE= 509' 928 7710- -
_,QUANTITY iFEE AMOUNT
Y - -10.00
i 40:00
*####********•**•*************•*•*#-PAYMENT SUMMARY ****************t****
F'A_YMENT DATE RECEIPT1 - PAYMENT AMOUNT
06/i 8/91'- 3877- - 50.00
TOTAL .DUE = .00- TOTAL- PAID= 1 50.00
PERMIT TYPE - FEE. AMOUNT AMOUNT•PAID AMOUNT OWING
SEWER PERMIT - • -50.00 50.00- .00 4
50:00 ' -50,00 . .00
.li.:l****#####*#####**********####ir###*######tele#######if##,#**#####****#iF ##****
* PROJECT NOTE": -- -TOPIC _' • CONDITIONS -DEPT -.=-- BUILDING " -_ - ' *
'*#*******######****************#****************#•)*********** **** a###*******
SITE ALSO -INCLUDES SOUTH 808.THRU 918 HOUK ROAD -
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER .STUB AS—BUILT INFORMATION IS AVAILABLE. AT TFIE COUNTY
.UTLLL\rIES,DE._PA,RTMI:=NT (456-3604).
CONTRACTOR' OR.APPL..ICANT IS TO FIELD LOCATE. AND CONFIRM THE
ELEVATION AND_POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION _ - - k
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE—YOU DIG (456-8000)` - .. -
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNE_CTION'TO INSURE
THAT—THEY- ARE- CLEAR- AND UNOBSTRUCTED- TO THE SEWER MAIN
#.k.****#** C:AL.I... FOR INSPECTION PRIOR TO COVER **********• -
****'*#*'## 24 HOUR NOTICE REQUIRED ********** -
********* " ...456-..3604 .- ' t,-1 .***#***#*#
• ******************************##THANK YOU ************************3********#