1991, 11-07 Permit: 91007600 SewerSPOKANE OOUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 specif ied
herein o'not. / understand that the uw"""m/svwxo.v^poo and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority mviolate o'cancel the pfany state ^ regulating construction, v,muwarranty o/conformance with the provisions o/any state olocal
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR /2
AGENTDATE
PROJECT NUMBER= 91007688
I%JUED PERMIT DATE= ii/87/91 PAGE= 01
**,g.*****************k.*««**** PERMIT INFORMATION **«**»***«****k**««�»«******
SITE STREET= 212 N MOFFITT LN PARCEL4= 16543-6683
ADDREE%= SPOKANE @A 99206
PERMIT HSE'` SEWER CONNECTION - MOFFIT COURT PUD z/ -5
4t))*** ::EE NOTE **»
PLATO= 885045 PLAT NAM�if MOFrlTT COURT P,U.D.
BLOCK= LOT� 3 ZONE= UR -i2 DIJ7=
AREA- 88882898 F/A= F WIDTH= 42 DEPTH- 69 R/W- 2�
t OF BLD�%= i t VwFLLlNG%= 1 WATER DIET = MODERN
OWNER= TVPPER INC
SM[EY= 12929 E CPRAG||F AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 C28
i99i
CONTACT NAME= DAVE RENZ PHONE HUMBER= 589 -926 1991
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= WA
�******x****xx*x****xx****** %[UEP PERHIT *«»*****««*»**«***************
CONTRACTOR= UNKNOWN
STREET= UNyNOWN
ADDRESS= UNKNGWN WA UNKNOWN
ITEM DESCRIPTION
PROCESSING FEE
EEwER CONNECTION
QUANTITY
--------
PHONE=
FEE AMOUNT
!8.88
40,00
**k:*******32.*k.**v*************** PAYMENT SUMMARY *********************�**x*px
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
i\/07/91 8453 50'00
TOTAL DUE= DUE= '00 TOTAL PAID= 50.80
PERMIT TYPE FEE AmOUNT AMOUNT PAID AMOUNT OWING
----'---------' ------------- ------------
SEWER FERMIT FERMIT 50,08 50_00 .00
------------- ------------ ' ----------
58'88 50.66 '00
PROCESSED BY: JULIE JHATTG
PRINTED BY: JULIE %HATTO
XEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNT/
V[nLITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LDCATF AND [oNFIPM THE
ANYEiEVATI3N AND POSITION OF SEWER STUB PRIOR TO ANY
EXCAVATION
TO LOCATE BURIED CABLES,CAS PIPINGWATER LI0E? EC7
/ ' `
CALL BEFORE YOU DIC (46-8008)
SEWER STUBS ARE .10 OECHECKED PRIOR TO CONNECTION TO IN.TV�C
THAT THEY ARE CLEAR N CTR CT V TO THE SEWER MAIN
**»*«*v** CALL FOR INSPECTION PRIOR TO COVER **It*****/**
********* 24 HOUR NOTICE REQUIRED ********k*
******* 456-3664 **********
***************«******** YOU *****pv�x****xv***x*x�+�.****x****