1991, 04-02 Permit App: 91001532 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
FkoJEt-'T NUMBER= 91001532 APF, €"f;ATIitio DATE= 04/02/91 F`AGF-. 01
*•*it•**i( ; .i IS N .11 A F'ERM:i. *it•i( *iF
PENALTIES WILL DE ASSESSED Fon COMMENCING wrIF',K WITHOUT A PERMIT
SITE STREET= 40715 E MAIN AVE PAROEi_. = 46543-0444
ADDRESS- SPOKANE WA 99706
PERMIT USE= SEWER CONNECTION _ B87-1
•n• x is SE NOTE 4***
PLAT4— 001652 PLAT NAME= OPPOF< T UNITY(TF<a 1 --1 42INC. 4 4::,..-3
i+i. O K- 132 LOT-= ZONE= AG:SUB DIS1 , E
AREA= 00000000 F/A = F- WIDTH•=F:�'T N- R /1,
4 OF DLDCS•- 1 4 DWELLINGS- 1 WATE F=' DIET
OWNER L RASZ i PHONE=
STREET-" 10715 E MAIN AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME LEWIS -- TOM STONE PHONE NUMBER= 509 92S 7712
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT::: NA PEAR= rJA
q••***>F*u•**itx* ;*•X•x*•x••X*•}x•*4*4(i(i(it• SEWFR PERMIT *********X-* k*Y?•]Ew:•E(ii• •'H'}I'X'lE'X•.X*isXA.
CONTRACTOR= OM STONEEXCAVATING PHONE- 509 9t� ' 71 0
STREET= 1112 iJ HAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTTON (?UANTTT`r' FEE AMfl(.IN T
PROCESSING FEE Y 10.00
_EWER CONNECTION 1 40.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
}EWI�F�.._��'r-FtE�STi_..__._. __.-----'54.�'�0 .W_.C,�; _._ ..__--- 50.00
-------------
`i0,0t' .00 50.00
PROCESSED y Y . JULIE S ATTO
PRINTED Br; JULIE SHATTO
SEWER TUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTYUTILITIES DEF'ARTMENT (456-3604) '•
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUBS PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WATER �. INES, ECT.
E
CALL BEFORE YOU DIG (456—•8000)
SEWEF STUBS ARE TO BE CHECKED PRTOR TO f_ ONNFCTION TO INSUE..
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*•zti(*r<**** AL...L. FOR INSPECTION PRICE- TO ;:,3\'FR *3)t3**it•
***** **ki*. 24 HOUR NCtTICE REQUIRED ac******** •
456-3604
: ;•ii is**ii**i(**** 3i•is*******iE•9(i(***9(M THANK Yf)ii ******************************4(*
671 2 -1 eS5 �- Dei
JOB ADDRESS: C.
• ! CJ� / 6 (/moi/ `Q -(�(/1 /
SUBDIVISION: 1 /1`pp e q - LJ /*! LOT: BLOCK: D-
OWNER: 1 J / --r6 --/-- PHONE:
ADDRESS:
CONTRACTOR: l j,T-�✓'L 1 PHONE:C/ � • -
lb
'j�
ADDRESS: �/M 1 1 l ' %_
LICENSE #: T1° i 1 1t *r /2/1 k }�
INSPECTION DATE:
TYPE OF OCCUPANCY: