1991, 10-02 Permit: 91004805 SewerSPOKANE COUNTY 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 I'
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. 1 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
^:
-!_.)..!!';,�_,; NUMBER= 91004805 I;kl_JLi? PERMIT DATE= 10!`02!`91 PAGE= Bj,
4.ii..ri.:r'. • ******ii iti 943ti iE ae /t' PERMIT INFORMATION 9e * dr ** 9e v: * *.ri..Jri,:ii* **dr de ie dr Y�9Fii�Jr re if
SITE
STREET=
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION .- PISI-Uir-,N--MICA INTERCEPTOR PKG, _=:
* * SEE NC1 l E 'k:' ,A'
PLATO=: 001230 PLATNAME= HILLCREST ACRES 7TH ADD
DLO t i LOT10 ZONE= UR -3,5 D:I::.;'Tv::::. P:
AREA= F/A= E' WIDTH= 85 DEPTH== 146 R/L.1=:
4 Or Pt_PGS:= ` DWELLINGS= i WATER DIET '_'
OWNER= I-IENDRIC:KSEN1 NEIL
STREET= 2615 E PINES RD
ADDRESS=: SPOKANE WA 99''.0'
ACT NAME.= LEONARD
PHONE=
PHONE NUMBER= 509 933 2376
NG SETBACKS: FRONT NA LEFT= NA RIGHT== NA REAR= NA
................ * .. ------ ...... 3; S
P''A''P:P::e:'RP:P..P,p.P..A..h'AAA'n'A'A'A'ii..ji..p..'p, P'h:)4AA � :.F :. 'lF pERMITIl'P:'k'A—ii'dl..}k'k'1l Rh:fl')t'k'h')t'h. X It h'A'P')1'il'X'hi .7F }@.R )t
CONTRACTOR= H CONSTRUCTION
STREET= i i 3i 7 E Vr'il..l_.E:YWA'Y AVE:
ADDRESS= = SPOKANE WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION OUANTITY FEE AMOUNT
PROCESSING FEE Y 10400
SEWER CONNECTION 40 00
iR)i#)iiih-Ax)kii.ii'L...ii..i-i'; .g. A A.i¢.}p.p. )r E'AYMENr SUAP.y }t)i"n li..ii..7i ii)-P)i'h:'n .)t. -*1 H..q: A..}i.*'-****41.*
PAYMENT DATE:: RECE:['r"i4 PAYMENT AMOUNT
i 0/02/91 72i5 Sid,Rut
.......................................
TOTAL. DUE= ,00 TOTAL. PAID= 50,00
00
FEE AMOUNT AMOUNT PAID AMOUNT (OWING
PET i'ITT TYPE::
WER PERMIT
t.1! E:t r
Wl: NDE i...
JULIE
GGLORIAI"1 A ( i 0
50. ii)%)
50,00
50,00 ,00
50.00
) ¢i
STUB AS -BUILT .E'rdi-i:Jf<MF'tiiC)N 7t' r,vr:'t.l'i_i:,it..l.:. AT THE COUNTY
UTILITIES DEPARTMENT (456-3604',
i:ONTRACrc)R OR AEP'I...'a:C:ANT 1:S To FIELD LOCATE AND CONFIRM THE
LE Fal .l. t.!iv AND F'Ci:i :T.'i'Inrd OF SEWER STUB PRIOR TO ANY OTHER
1313N
TO LO i.: r=r I f.' T't i.J P? ]: Ei: D CABLES, f:, r°I S PIPING, WATER LINES, :..:
f:.r.°)i...L.. )ar:.i-t.!F<c rt11.1 n'Ii: (=d.:,,
:SEWER STUBS ARE TCI RE CHECKED ED PRIOR TO CONNECTION TJ INSURE
THAT TI -1E:, r ci E. r. CLEAR AND UNOBSTRUCTED u _ I n THE SEWER MAIN
:a:7i ')r)(.p*)0(ii CALL FOR INSPECTION PRIOR ICj COVER ****w.*****
1i.)a'!i')i'.7pdi..p:.
A....'y HOUR NOTICE REQUIRED nit )i kh*ii YT**
*):-1.3:.u..x:nt X Y' 4c'.3604 ****)***K Kik
tl'$'**a—s}:)i:*i4+t'7t)idt
THANK YOU
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