1992, 03-16 Permit App: 92001538 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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= 92001 538 APPLICATION
DATE= 03/16/92 PAGE= 01
*:a: a ii•iii* THIS IS NOT A PERMIT ***** =
PENALTIES WIE...L. BE r'iE,SE S G FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 315 MCDONAL_D RD PARCEi..O= 22541-9034
ADIDRESE= EPOKANE WA 99216
PERMIT USE= SEWER CONNECTION ---- SOUTH BLAKE (92.E--•20:.
• •: w SEE NOTE '
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGR]: D]: S'-T•m==
AREA= 00000000 F/A-•- E= WIDTH= DEPTH=Rlt1
OF I:fL_Dc 1 iWEI...I... 1: Ni,S=: 1 WATER r:. F4 .i1J. -I :::
OWNER= WIDENER, EDWIN
ETREL•::T== 315 E hMCDONriL.ID RD
ADDRESS= SPOKANE WA 99216
PHONE._
CONTACT NAME= ALWAYS ACTIVE -- RON SI_.OAN PHONE NUMBER_ 509 2.2 0500
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
-)i.j,,*j,:.x.:p:ie•b:*j(***ji-**#r•':N:��.--****#*jk•a• ,'EWER PERMIT
CONTRACTOR= ALWAYS ACTIVE
STREET== PO BOX 141562
ADDRESS= SPOKANE WA 99214
ji * 'ik :* . . 'Pi . -): jC -R- -R -N: x !: R * * R: P: 'x- P:.t is -P: * -k . 'x•
PHONE=:: 50 Y 927 8500
]:TE:M IDE:SCRIF'•T]:ON QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50..00 .00 50.00
50,00 .00 50,00
PROCESSED •>ED T t : DOMTTRI:"its I(::'ri . ROBIN
PRINTED BY: DOiiITR'OV]:I:::I-•1, r,'OI:t]:N
SEWER STUB AS-•-BU]:L..T ]INFORMATION IE AVAI1..ADI...E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IE TO FIEL..D LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF ::EWER STUB PRIOR TO ANY OTHER
EXCAVATION
Tc) LOCATE BURIED CABLES, GAS P]:PING, WATER 1..]:NES, ECT_
CALL BEFORE YOU DIG (456-8000)
EE:WER ETUDE ARE TO i: CHECK ED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•k:• * •)t• * ii• jt• * ji- * C`. r t I... L.. F O R INSPECTION PRIOR TO COVER )'. •lr •b: ii a •u n -'n; -ic -a
ji:N:-h:***jt-* : .'4 HOUR NOTICE REQUIRED *jE: *****
K******** 456-3604 ....
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