1991, 03-22 Permit App: 91001281 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= 91001281 APPLICATION DATE= 03/22/91
***** THIS IS NOT A PERMIT *** •**
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= RY 01
SITE: STREET= 9318 E MAIN AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- A87-•-1
n:** SEE NOTE *K
PARCEL:= 17543-1501
1501
PLATO= 001 835 PLAT NAME= OPP. TR. 1-354
BLOCK- LOT:- ZONE= T FR D1:STO= E:
AREA- 00000000 E='/A:::: i- WIDTH= 60 DEPTH= 130 R/W= +0
OF BLDG'S=
DWELLINGS= 1 WATER DIST
OWNER= BUSSEY, KEN R PHONE= 509 924 4529
STREET= 9318 E MAIN AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD -- H & S PHONE NUMBER= 509 926 R964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT- NA REAR NA
,i• •••x•*•u•*>':*•u•*u*•x••;z•**********.***•x SEWER PERMI_J. ************-K*****************
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE. WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE:
SEWER PERMIT
FEE AMOUNT
-------------
PROCESSED BY : JULIE SHATTO
PRINTED BY: JULIE SHATTO
50.00
50.00
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
10.00
40.00
AMOUNT PAIN) AMOUNT OWING
-00
.00 50.00
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
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, OAS 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 SEWFR MAIN
)(**x*yfM•* CALL FOR INSPECTION PRIOR TO COVER ****tt•)F•>t**-x
>t•nu•x••***4t* 24 HOUR NOTICE REQUIRED **•*•)t•***YIP:•)l
*ai***u•- * 456-3604 *********K
-x• * i )(• )i• ii. X• )i- Y: u h- is ri- #i -h:• ]t- x: # # k ri- iF )t * it * it )� )t •ii- 1t •1t THANK you **************h.******************