1991, 09-18 Permit App: 91005940 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 f NUMBE t:.- 91 005940
APPLICATION DATE= 09/12/91 PAGE- • 01
)r * 3': 3' a'• *
THIS IS NOT A PERMIT 3i• : •N• 3: 3E
PENALTIES WIL..L. ),:t1=: ASSESSED FOR COMMENCING WORK WITHOUT A PEMIT
----------------
SITE nvrLry-505 S C O V . .RDY'_`8_
j - ....
= SPOKANE WA
992
PERMIT USE= • SEWER CONNECTION •'- t.1i.1. ;i 903
3i• #i ii ': E E .. NOTE -iE 3': 3a-
PLATO= O= 001 ;•;08 PLAT NAME= f'rt.. .. S .`>t_
BLnCK- LOT= ZONE= AGRI
AREA= 00000000 E'/A= F WIi?-('1..(::: es
: OF IyI...I:l(.Y..._. ,. (?t_IE:II....ENI. E- 1 WATER DIST
..
DEPTH-
(OWNER- HESS, KATHLEEN PHONE- 509 926 7R02
STREET= T= 0' r MCDONfiI...r RD
ADDRESS= SPOKANE WA 99 216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 R964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NAREAR= NA
1 ,t -tr * * ii• k * 3i ii 3i• ;1• * *.n .i,..u..u: * * -N:• * * 3}: -P: * 7i- * * ,.i k:. lu E:.1"; PERMIT 'b.' •A: 3E 'P: -P: 'P: 'P: -P: •P: 7k 'P: it ak 'P: 3rii.:W **.k..ii..ii..x..le •P: * 7i•
CONTRACTOR= H , CONSTRUCTION
STREET= 1 1 81 E" V ;'l L_ L.. 'I IJ F 1 AVE
ADDRESS= SPOKANE W*, 99206
50? 926 s. v
ITEM DESCRIPTION QUANTITY
FEF AMOUNT
----------
PROCESSING FEE `r i ri.00
SEWER CONN ;=C T :L'0N 1 40, 00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT i' 50..00 .00 50 0
50.00 .00 ' c;/,i_
PROCESSED BY: - JUL.]:F. SHA TTO
PRINTED BY: STUB
ATTC)
SEWER UB A; » .BUIL_T INFORMATION fT
ION I S AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--360$
CONTRACTOR OR APPLICANT IS TO FIELD 1..00ATE AND CONFIRM H;
ELEVATION AND POSITION OF SEWER STUB PRIOR TO r' NY O Tr is i'
EXCAVATION
TC) 1...00ATF: BI.IR:1.'EI) CABLES, GAS PIPING, WATER LINES, F..;.,• ,,:r....,.
CALL. BEFORE_ ; i,.ii„i DIG (456—R000)
EE:LJE:FRS ETUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO T N 1. R
THAT Ty E. F _ CLEAR i ND UNOBSTRUCTED -O THE sEWER::r
*3n:ri3i•*3:•1:-;r3i cALL FOR INSPECTION PRIOR TO COVER 3P:2•P:'k•.t...P..'.A.-
3i• :u• 3E 3r 3r :w -!r -Jt •P: HOUR NOTICE REQUIRED *****:p.-***
******MK 456-7604 Kai * •y: 7e * * -k:• 3i• =r+;
3*'"i*3E:k 3i•* 3E3E'it•*3* 3i-li•:43*3: *..E13E3* y(it..K-ii iE •i.;.i*.i,.-3* THANK '••r'f,jt•.,:..i.k..4Vii.4*'4!i-*.H•i.-•3a. Sri* 3i 3* 3*4* 4**** 3E 3*!>:*it•i43