1991, 10-31 Permit App: 91007430 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= 91007430
11111111111111111111IDATE=10/3i/91
PAGE== 01
5I*•x•ai•• THIS IS NOT A PERMIT x*x.*.xx
PENALTIES WIL..I_. BE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE <<1REE.1= 505 E MAMER RD
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE
*** SEE_ NOTE •ii-**
PL..AT; =
BLOCK=
AREA'-
F OF DL_DGS
999999
99'9;.
F'ARCEL_O== 22541-9143
F'L..AT NAME RANGE
LOT= 9999 ZONE-:: SFR r,:ESTT:::= F
F•/A=: F WIDTH= DEPTH= R/W=
e: DWELLINGS= 1 WATER DIST =:
OWNER= BOIEVERT, GEORGE PHONE=
STREET=- 505 E Mt•ii•ifF: RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H h ,S CONSTRUCTION LEONARD PHONE: NUMBER== 509 976 8964
BUILDING SETBACKS: FRONT-. N/A i...EFT:= N/A RIGHT= N/A REAR=:: N/A
,F -i4• * a• j! * Jt' x x x x h.- * x ',r 'h: •M• * * * x x -A: 'A• -A.• §i• * 'R- :'r SEWER R E. R M 1. ! * 'r.• •i{• h.' * fl..i(..Yl..ii• * ',l' '!t•. /l..if. *.N...* 'b:' •P: * * * * * i?- * R• :,(. •i�.
CONTRACTOR= H & ;S CONSTRUCTION
STREET== 11817 E" Vr•'ii...I...EYWAY AVE
ADDRESS= SPOKANE WA '99206
PHONE= 509 926 0964
:1: TEM DESCRIPTION QUANTITY FEE : AMOUNT
PROC:E::,SSIN.G FEE Y 10.00
SEWER CONNECT ION 1 40.00
PERMIT TYPE FEF.:: AMOUNT AMOUNT PAID AMOUNT OWING
-------------
SEWER PERMIT 56,00 .00 50.00
50.00 00 56.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION TS AVAILABLE AT THE COUNT'S
UTILITIES DEPARTMENT (456_..3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM TF•ir
ELEVATION AND POSITION OF SEWER STUB F'RIOF. TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CAL.L. BEFORE YOU DIG (456...:I000 )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE FEWER MAIN
•»• •x• x *- * 'ii• • • p: CALL r O r. INSPECTION / NOTICE
F' R 1: O R TO COVER it• -ii ,e •ii �i •it• •ii• ii' •ii .x•
*****K*** ,:J4 HOUR TICE IEQt.U.LRED k'at'F1'7S''fit9t9r It )t1?•
{xjh*iiM i 456-3604 t.kµpUJ(pj
r Kyk iyhri hii Niir >lriu r *iu kx xc n r�: r nTHANK TO j •)3 r iu r r>i*r nr }hvAi , r r * i < r x i : x r ; r