1991, 07-23 Permit: 91004432 Sewer SPOKANE COMENT 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/ it o submittedu t 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 I regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF 4:0/3:
APPLICATION 7/2...,y /
OWNER OR AGENT DATE
PROJECT NUMBER= 91004432 I%%UED PERMIT DATF= 07/23/91 PAGE= 01
********* ****************** PERMIT INFoRMATInN ****************************
SITE STREET= 1228 N DICK RD PARCFLO= 18542-0508
ADDRESS= SPOKANE WA 99212
PERMIT USE= SEWER CONNECTION - DRY LINE ONLY
*** EEL NOTE ***
PLATO= 000153 PLAT NAME= BA%CFTTA ' S ADD .
BLOCK= 3 LOT= ZONE= AG%;3 DI%T4= E
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 130 R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= DOLPHIN, WILFORD A PHONE= 509 924 0154
STREET= 1228 N "ICK RD
ADDRESS= SPOKANE WA 99212
CONTACT NAME= WILFORD DOLPHIN FHONE NUMBER= 509 924 0154
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAK= NA
***************************** SEWER PERMIT ******************** ********
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10. 00
SEWER CONNECTION i 4O.00
******************************* pAYMENT %UMMARY ****************************
RAIMENT DATE RECEIPT4 PAYMENT AMOUNT
07/23/91 4957 50 . 00
TOTAL DUE-DUE= . 00 TOTAL PAID= 50. 00
FERMI ! TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------
%EWER PERMIT 5O. 00 50 .00 . 00
------------- ------------ -------------
5O .0O 5O.0O . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTG
%EWER %TUB A%-BUILT INFGRMATION I� AVAILABLE AT THE LOUNTY
TILITIE% DEPENT (456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE PIPIN '� WATER LINE '
ECT
CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
** ******************* ** ****** THANK YOU ******************************* *