1991, 08-13 Permit App: 91004963 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9-1004963 APPLICATION
DATE= 0Oii3191 PAGE= 0 1
•;tk•*)>** THIS IE NOT A PERMIT •** • •*
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT r=r PERMIT
SITE: STREET= 1 1 216 E MAIN AVE PARCEL4= 16'.:43-0580
ADDRESS= ,'i'OKANE-:. l4!'I 99206
PERMIT USE= SEWER CONNECTION .... ;_s87....1
*)i-* SEE NOTE. •k ii -3
PLAT4= 001852 PLAT NAME= OPPORTUNITY(TR.1-142INC,143-35
Tsi...00K = 151 LOT= ZONE= AG:N B 1)1 ST4 == F
AREA= (0000000 F• /A= F WIDTH- DEPTH= R/W,::
tf- ll_.D,G.S= „: DWELLINGS= 1 WATER DIST µ:
OWNER= W01..FF, A J
STREET= 112.16 E MIN AVE_
ADDRESS= SPOKANE: WA 99:=06
PHONE=
CONTACT NAME= FRN SL.OAN PHONE NUMBER= 509 92.2 8500
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR= NA
!k )h*pu(1H)4 NA l R9)))ar iiK)1*)) SEWER 'Er3t * i
ht :AwaipRAt h *k*A*RP)t Rk ) k *
CONTRACTOR= ALWAYS ACTIVL.
STREET= PO I:1I1'x 141562
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
FEE AMOUNT
50.0 0
50.00
PROCESSED BY: jULIE SHAT T O
PRINTED BY: JULIE SFIf't TTO
PHONE:::: 509 922 8 500
QUANTITY FEE AMOUNT
Y
----------
10„00
40.00
AMOUNT PAID AMOUNT OWING
. 00 50,00
.00 50.00
SEWER
EWR STUB AS—BUILT INFORMATION IS "1A]_AF1E AT THE COUNTY
UTILITIES DEPARTMENT 1456.3.04
CONTRACTOR OR APPLICANT IS TO F1:EI...ID LOCATE AND CONFIRM TF•IE:
E=LEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE- BURIED CABLES, GAS PIPING, WATER LINES', ECT,
CALL_ BEFORE YOU DIG (456-8000)
SEWER TUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ]INSURE:
THAT THEYARE CLEAR AND UNOBSTRUCTED TO THE ;SEWER MAIN
-•p:• A-* ->>:.*.u. CALL FOR INSPECTION PRIOR TO COVER ******-h**-%{
)f h*:••ii'**** 24 HOUR NOTICE REQUIRED -•f::*****ii *)(
:+: )t )i• •h: * :k •'ti• p; •ii• 456-3604 ii• *'n:.h..if ...y{..x ...k.
k * * i!• * yc * it n- * * * si- )i- * )�: )i� )i• :x: )i- •li.:,i..y;..>i- ri * :k)i i+: )r)?• * THANK Y ..t i,_i * * -x * )r- )�: •a ,t- •,t -,r h * r: )t * )F * x• * )i• •r:• * •;i• * n• * •R• * n• * :>r );..R.