1991, 09-18 Permit App: 91005815 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/application, stale 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 REOUIREMENTS/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 00581 5
APPLICATION DATE 09/18/9i F'r•'tr;F::::
**•)i•** THIS IS NOT ra PERMIT ii;r*;t•**
PENALTIES WIL_I_. HE.: ASSESSED FOR COMMENCING WORT' WITHOUT A PERMIT
SITE: STREET= 321 ,S L.Et~) T HA I._N f ARCEI.. p:= 22541-1504
ADDRESS= SPOKANE WA 9921
PERMIT USE= SEWER CONNECTION ".. UI...I.D 90.1
** SEE NOTE. * - -
F'I...AT4:=: 0(}i 436 PLAT NA1IE= I...F:::r°)TI•1A LANE ADD
BLOCK= i LOT= w ZONE:::: AGSl m DIST;,::.:: F-
AREA= 00000000 (F/A= F WIDTH= DEPTH=
OF l •k' DWEL.. CNGE= 1 WATER DIET
x.
OWNER= BONNER, MILTON PHONE=
STREET= 321 S I...E:A t Hr• LN
ADDRESS= SPOKANE: WA 99216
CONTACT NAME:_: LEONARD PHONE NUMBE::R=r. 509 926 :4
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****v:******)****************** ,.> `'
:. W :.R FERMI**************k************:***
CONTRACTOR= H , ,:} CONSTRUCTION
STREET= 11817 t:_AI._LE'1 WAY AVE
ADDRESS= SPOKANE WA 99206
509
926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
,sE:WER PERMIT 50,00 ..00 50,,00
----------
S0.00 .00 90.00
PROCES::>ED BY: JULIE SHATTO
PRINTED BY . j.i...IE SHATTO
SEiWER. STUB AS-BUII.._T INFORMATION IS AVAI'i...A.I.fi...E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE:: AND CONFIRM THE
ELEVATION AND POEITION OF SEWER STUDY: PRIOR TO ANY OTHER
EXCAVATION
TO I...00A'T'F BURIED CABLES, GAS P:rF'INC.;, WATER LINES, ECT,
CAI._I... BEFORE YOU D:FG (.456--8000
SEWER STUBS ARE TO FIE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
tii:•>tii•>t**•u:R.•ii CALL FOR INSPECTION PRIOR TO COVER •*#********
•)r9r)r9eii-**** 74 HOUR NOTICE REQUIRED ****ii•)iiriiii•it•
********* 456-3604 ********
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