1991, 10-01 Permit: 91006405 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 n 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 l 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 visions 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
OWNER OR AGENT
APPLICATION /Q_ / — 9/
DATE
PROJECT NUMBER= 91006405 ISSUED PERMIT
DATE= 10/01/91 PAGE:= 01
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SITE STREET= 211 N LOCUST RD
ADDRESS= ,SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — A87.
*k* SEI..: NOTE 1i..1r: .k.
PLATO=
BLOCK=
AREA=
Pr OF Bl._DC ;.i':=.
OWNr:R:=:
STREET=
ADDRESS=
1)0370.3
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PLAT NAME=
LOT=
E/A=
DWELLINGS=
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211 N LOCUST RD
SPOKANE WA 99206
PARCEL.- 17543-1229
Hf.AE?S *itn)(T3i._UE LINii:: (: LY)
,... , ...,.,.'.n -
'1 wATEP DIST -
PHONE=
CONTACT NAME= WiL.L.IE ROY CONSTRUCTION PHONE
BUILDING SETBACKS: FRONT-=: NA LEFT= rNr, RIGHT= NA
NUMBER= 509 728:5373
REAR= NA
******A********************** S E:. W E R PERMIT .k..k..tt..k. k..k..* k" n" k'k' k 1i k *.h..h..;;.x..h..a.;;.;f.
CONTRACTOR= WII...LIE. ROY CONST
STREET= 15516 E:: 14TH AVE
ADDRESS= VE.i\ADAL.E WA 9903','•
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
3*3i3 ******************-
PAYMENT
*3*3l'3l'3t'*3'R'3i'R'*3f#3i*3 3***PAYMENT DATE
10/01/91
TOTAL DUE=
PERMIT TYPE FE:E::
SEWER PERMIT
PROCESSED BY: ...R.h..:[E SI-IATTO
PRINTED Carr : JULIE SHAT -(O
PHONE= 509 929 5323
QUANTITY
1
PAYMENT SUMMARY
RECEIFTP
7112
.00 TOTAL AL.. i -'r..,:[?):_
AMOUNT AMOUNT PAID
50..00
50.00 r..'
0.00
FEE AMOUNT
10.00
40.00
.a..a* 3bi 3e 3i' P' 3r 3A'hi h k 3t k'k * i( k' k
PAYMENT 'AMOUNT
30 .01;
50.0 0
AMOUNT OWING
..................
, 1;14'1
..
SEWER ,<"r 1.?T3 AS—BUILT :C i`A��OE;Mt-;(I _iN .. F9': f-1 �. 1._Hx.+
UTILITIES DEPARTMENT (456--3.604))
CONTRACTOR OR APPLICANT 1:,'i TO FIELD LOCATE
ELEVATION AND POSITION OF SEWER STUB PRIOR
EXC:AVATiON
TO LOCATE BURIED CABLES, GAS PIPING,
CALL BEFORE= YOU DIG (456-8000)
*:'I:::i.IER STLJBS ARE TO BE C:HE:C::NE D PRIOR
TI -IAT THEY Aft E:: CLEAR ANT} LINOPSTRUCTE.
'k—kkAhk;t' k k' CALL.. FOR INSPECTION P RIOR Ti
#rik'1('3i'3rdi** 24 HOUR Nf1i ICE RE UIRi r3
:,r.31..3..3.yi..k..*3*3. 456....3604
iii AT THE COUNTY
AND CONFIRM THE
TO ANY OTHER
WATER LINE -:s, ECT.,
TO CONNECTION TO INSURE
r(i THE SEWER MAIN
: COVER ***k***)***
*** 3ek33E3f3*3*
k u'*k—k' 1433'31 '3
***k'383E*3*3i3ikk3*3*3*3i' THANK You u3e3E
3* di 3E
3** * 3t 3rr3E'****** 3i *3*** i';*3i3i rt;i 313E k* ie'1i