1991, 09-10 Permit App: 91005587 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
I::F fJFCT NuMBER= 91005587 D(TF::= 09/10/91 PAGE=
r•7i• ** THIS IS NOT A PERMIT * •**3 *
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE_ STREET= 311 S I...EATIIA LN PAF{CEL..: = 22541-1502
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION UI...1:1) 903
*3* SEE NOTE
PLAT -4= 001436 F'I...AT NAME= I...E::ATF•IA 1...ANE ADD
BLOCK= 1 LOT= 2 ZONE= AGSLIB D:tS'T'O-
AREA= 00000000 F/A= F WIDTH= DEPTH=
- e- OF BLDGE= '1 v DWELLINGS= 1 WATER DIET :-:
OWNER= GRENZ , ROGER
STREET= .h 1 1 S L_I :ATHA LN
ADDRESS- SPOKANE:: WA 99216
PHONE=
F
R/W=
CONTACT NAME= LEONARD F'HONE:: NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA FIGHT- NA REAR- NA
***********K***************** SEWER W Sf']P}*A*''f*A*P*A**3*P***)*.: *t**)Pi
CONTRACTOR= N s CONSTRUCTION
STREET= -1i8'1'r 1 -:to L.. L.. [ : 'Y W A'r' AVE::
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 9964
1:TEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F:UE Y 10,00
SEWER CONNECTION 1 40.00
PE:.RM11. ..(.r'F'E:: F'E::E:: AMOUNT AMOUNT F'A11) AMOUNT OWING
SEWER i'ERMIT 50.00 _00 50.00
5! .00 .00 50.00
PROCESSED BY: JULIE Si IA T TCI
PRINTED BY: JULIE SHATTO
SEWER ,.'.TUB AS....BUi:L..T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 0456-3604)
CONTRACTOR: OR APPLICANT IS TO FI:F1._D LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT:.
CALL BEFORE YOU DIG (456....8000)
SEWER ETuBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
ii.*jca* **H* CALL FOR INSPECTION PRIOR TO COVER 'x' •*** ***
*)*.j**••x•**• 24 HOUR NOTICE REQUIRED )i•• -*•••'•>k•;;:
i* -H- ji. tz: a: j* * -i* * 456-3604 '!1''A -'F-•:* *l*j*P:
i* )* : * )* )* )* )* )* :,i.:)t * N• ii- i* •i* )l' )(..ji..j(..jt..j,...p..F: 'P' •k i* )* •iF THANK 't o IJ * .j,. ar..ji......* )* •>': it * )* ,k * •j* :a• * )i• •ii• )i- )r zi :o: ); ii •j* * * )* a -n: