1991, 04-24 Permit App: 91002043 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 said
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 thispermit/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 donstruction, 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= 91802843 APPLICATION DATE?. 84/24/0 PAGE= 81
****** THIS IS NOT A PERMIT ******-
PENALTIES WILL BE ASSESSED FOR C0MM[NCING WORK WITHOUT A PE��MIT
-�-
- `
�
. %ITE STREET= 12813 [-MAIN AVE `— PARCE110=• i6544 -V371
.ADDRESS= SPOKANE QA 99206 ,
- PERMIT USE= SEWER CONNECTION-
*** SEE -NOTE ***
,
PLAT0= 801852 PLAT NAME= OPPORTUNITY(TR.i-142lNC.143-35 .
. BLOCK= .L T:7� ,ZONE= LD VI%T4= -E
AREA= 000O8888 F/A= F WIJ7H-, DEPTH- R/U=
� OF BLDc3� i cDWELLINGJ=- • WATER VLSI =.
-
•
OWNER= MILLER,- W. H^ PHGNc.—
.' %TREET= 128i3 E MAIN AVE � • ^ .
-ADDRESS= ADDRE%%= %POKANE WA 99286
CONTACT NA^E= H & % CONSTRUCTION ^�PHON[-NUMBFR- 50� 926 8964
� BUIi�DING SETBACKS. FRONT= NA LEFT= NA RJGHT��NA PEAR= NA ' '
. " � �
****ki�**x***��******k******** Jr�ER PERMIT *********'*;*******i***«****»
. � ' . .
-CONTRACTOR= H & J CONSTRUCTION ^ PHONE= 509 926 8964 •
� �`'��- ��.�� � ��^���^�� . AVE�
� STREET= )1�1/ � vwiL�,u�, �vc `
' ADDRESS- SPOKANE. WA 99286 .
�` - •� �
� x��'"
� �I7[M 'DE%CRIPTION ' QUANTITY'
• Fg�
'�
AMOUNT ^
. .'_����
- PgOCE%%ING FEE Y . .' 10.00-
SEWER CONNECTION '�i I • • 40.08
' PERMIT, EYPE • 'EE A/OUNl AMOUNT PAID- —AMOUNT, OWING
--------r-- --' ------------ ------------ --�----------
•
;,,T.WER ['[PM1) - ' 58��� � ^00 • 58.88� .
� ---- -------'-----
^ --------- --- --------
58^86 . '60 . 50'88
PROCESSED �':'-jD�� LA�%hW. ' '
PRINTED BYHjOyN LARSON ^
_ _
�
SEWER STUB AS -BUILT INFORMATION I/� AVAILADLE AT THF.COUHTY
UTILITIES DEPARTMENT (456-3684)
� ,�
CONTRACTOR OR APPLICAH\ I%'T0 FIELD LOCATE AND [0NFIPH'THE
ELEVATION AND POSITION OF 3[WER %TUB';'RI;R.TO ANY OTHER
EXCAVATION • ^ -
. ' ' • -
TO LOCATE BURIED CABLES; �
GAS PIPING/ WATER LINES, ECT.
CALL BEFORE YOU DIG (45"-8888}
SEWER STUBS, ARE TO BE C --[:KED PK10k TO CONNECTION TO INSURE
THAT THEY ARE cLEAK AwO UNOBSTRUcTED T0 THE'SEWER-MAB«
********* CALL FOR INSPECT N.PRIGR TO'CO;�R. K*********
****x**** 24 HOUR NOTICE REQUIRED *****,*****
.*x*****x* 456-3604 ' . **********
^
******x**********�****��****�*** 7H���K YOU **********«**�****�»*************
~