1991, 09-10 Permit App: 91005586 Seweri
SPOKANE 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 C T NUJMBER= 91005586 ' APPLICATION DATE= 09/i0/9i PAGE= 01
*****K K I H1.,'i IS NOT A PERMIT **••
PENALTIES WILL. BE A:'SEE E::I) FOR COMMENCING WORK WITHOUT A PERMIT
SITE:: STREET= 305 S i_.EAI HA LN PARCEL N:= 2254i -150i
ADDRESS= SPOKANE WA 99216
F:E::rii'iTT L34'L:=: SEWER r:Ii'`NEC1fN -iLID 903
)* f SEF NOTE >,:•-a• -
PL.AT4= 001436 PLAT NAME:::: i...EATi IA LANE ADD
BLOCK= i LOT= i ZONE= AGSUB DIETO= r.
AREA= 00000000 r:.'`r."t:_: F WIDTH= DEPTH= R/ 4.1=
OF Bf...Dfd.'+::r. 1 0 MAR LINOS= i WATER Til.".
OWNER= �_YRE:N.<_ : ROGER PHONE=
,.} T` F t. ET= --' 3 0'.i E t._ E. n t rl A 1 t'i
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= >5O9 92%) C. 964
BUILDING � E_ BAC:K.:' : FRONT= NA LE:.r...i :::: NA RIGHT= NA REAR= NA
.'t!b:* 'P: '1l- 'H• ')4A• 'P: il..P...lt..h:- ':4' it '1!' k * It 1l '14- it• 'P: 'il P: il• 7l- 7l' il- ,) .:. .; I'{ PERMIT %=: 'A-
'PAAlPAk PR F PR iPlt 9Y!H A R9bi 1fi H
CONTRACTOR= � ,CONSTRJCT[ON
STREET= 11817 I::: VAI...I...r:Y I.IA i AVE
ADDRESS= ,S:' F`i:!KANE WA 99206
PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
'EWER CONNECTION ION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PA3:0 AMOUNT c:iw1:NG
,•'r:WE:R PERMIT 50.00 .00 50.0
•
50.00 00 50.00
PROCESSED BY: JULIE SI••IATTO
PRINTED BY: _1Ui...l:E:: sI-Ir'1"i'TC)
SEWER STUB AE—BUILT INFORMATION 1:,' AVAILABLE rtT THE COUNT'
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD f...00::ATE:: AND CONFIRM THE
ELEVATION AND r'0, :[-T O �i OF SEWER STUB PRIOR .)_O ANY OTHER
IIFR
E:.xC:AVATT.ON.
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL_ BEFORE YOU DIG (456-8000)
SEWER ETUDE ARE TO DE CHECKED PRIOR TO CONNECTION TO 'INSURE.
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO TI -11::: SEWER MAIN
* n: * .h * it )! n * CALL E' i..l Eti INSPECTION PRIOR TO COVER i( •n: •ii ii iE yi r: a #: il-
•*#*K** :H: 24 HOUR NOTICE REQUIRED **•rr7t:,ris-+ri!-*-r.-
****aa*** 456-3604 .R. •P: 'R- ik P: 4k K •iY 'Pi •P:
'1t'9t * li 'P: * :* * * * * :k n :k .}(..Y..H: P" !l• * * * 1?' )i• * * * }t- * ft THANK
1.4 Y 1 t?i}41F nxt r ** xr* k rnrnynnr y
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