1991, 10-08 Permit App: 91006648 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 006648 APPLICATION DATE== 1 0/08/91 PAGE== Oi
***A** THIS IS NOT A PERMIT x*x***
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 319 S LEATHA LN PARCEL;= 22541-1503
ADDRESS'= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - UL.ID 903
i1..x..x. SEE NOTE *.x.x.
PLATO= 001436 F'I...AT NAME= LE::ATHA LANE: ADI)
BLOCK= 1 i..OT= 3 ZONE= AGSutt DIST= F
AREA= . /A= WIDTH= DEPTH= Rr`W-:
4 OF BLDG'S= 4 DWELLINGS= i WATER D.I.ST ::::
OWNER= MASON, RICHARDSTREET= 31 9 S I...EATHA LN
ADDRESS= SPOKANE: WA 99216
PHONE=
CONTACT NAME= LEONARD PHONE. NUMBER== 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR= NA
H*********j(*ilk:il'i4*il''tl''P***il'i4)lRP* SEWER PERMIT*************************ai•****
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E 'VAL..LEYWAY AVE
ADDRESS== SPOKANE WA 99206
PHONE= 509 926 896.4
ITEM DESCRIPTION WANT1:TY FEE :: AMOUNT
PROCESSING FEE : Y 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 SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--360.4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, CTAS PIPING, WATER LINES, ECT.
CALL BEFORE. YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
****xp:i':** C',AL..I.. FOR INSPECTION PRIOR TC) COVER ****•)t•R•74••A•fiit•
•x•***it**** 24 HOUR NOTICE REQUIRED **•********
....
•x• ii• •x• * ii * * * .x456-3604 a n. x x..x. ii..id * * *
**********•x•****ii-'P:flit'f{"1rjt.*.N:'r:.x.****** THANK YOU i!'***il**it *?t R -it' -x -'x*,* **************it