1991, 03-28 Permit: 91000492 SewerSPOKANE COUNTY DEPAFETMENT OF BUILDINGS
UK1303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that I have examined this permit/applicalion, state that the inf ormation contained in a 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. 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 rpgulating Construction, or as a y.iarranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER,-91O8O492 — IJ%;EOPERMIT
*****�***;**�***x**4E*** pERM� 7
SITE STREET= 11814 E MAIN AVE
ADDRESS= SPOKANE WA 992i6
PERMIT USE= SEWER. CONNECTION
*** SCE NOTE *** •
.
801O35 PLAMNA =
154 - =‘
80808000 F/A=
� 4 DWELLINGS=
PLAT4=
BLOCK=
'
AREA=
4' OF RLDGC=
OWNER=
STREET=
ADDRESS=
DATE= 63/28/9i PAGE= '01
' `
INFORMATION ***«**************«****�»*if*
PARCEL1=16544^0525
OPP.[ -35�
Z0 =-AG%UR VIJT4=
FWIDTH= DEPTH=
i WATER DIST = .
T N A 'C N IA ' � - PHONE=
E-MAlN AVE -
SPOKANE WA
VE%PDKANEWA 992i-0 '
CONTACT NAME= LEONARD - H PHONE
8OILDING'SETBACKS: FRONT= NA LEFT='NA RIGHT= NA
NUMBER= 569 ;26^8964
REAR= NA
*****�************�********** SEWER PERMIT' ************p******x**********
CONTRA�`TGR� H& CONSTRUCTION.
, "-,,, ''�'-'�,.`.'�''.'^ -
������ ���l!��� y*������/ AVE:.ov___ � SPOKANE ��_ _ _
STREET=
�� - ��_��� �
ADDRESS= ^P8KAH� W8 .,�6
'PH6HE='589 926,�964
ITEM DESCRIPTION . � � QUANTITY FEE: AMOUNT t
-------------~`---------- -'------ -PROCESSING FEE,Y. � 18,08 ^
SEWER CONNECTION ' ` � • 40^80�
. ^
.*x************»***�************ PAYMEp( SUMMARY *«****»�********************
�
PAYMENT'DATE RECEIPT�
83/28/9\ - '16i\' - --`
` .
TOTAL DUE- ,80-^ T0ML. PAID=
PERMIT TYPE
SEWER PERMIT
PEKMIT
P
AYMENT AMOUNT
�
FEE AMOUNT ^' -AMOUNT PA-Ib'
AMUUNT_O8ING
-------_'---- ------------ -`�----------
- 50^88 • 50'88 • ,80
----`-------- ------------ -------------
^ . '
PROCESSED 'BY: JULIE
-%HATT8
PRlNTED BY: JULIE JHA7TO
SEWER STUB A%—BUILT INFORMATION IS -AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3684)
.
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION ,
l ECT,TO LOCATE BURIED CARiEJ CINES,
CAi| BEFORE YDU'DIC(456'-d000)
•
' . ^
%LUER ARE �O RE ARE PRIOR '0, O0NHE[I7ON TO INSURE
THAT THEY 8RE CITEAK 4H�-.UNO8%TRijC EV.TO THE SEWER MATH •
********* CALL FTIR.IN% E TIGN PRIOR TO COVER ********** '
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*!+«***********�*******.4*******:k*'THAOV y0|| ****1-ia***v*****x****`v*;,*x***�****
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