1991, 07-05 Permit App: 91003996 Sewer SPOKANE 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- 91003996 APPLICATION DATE= 07/05/91 PAGE= 01
****** THIS: IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2717 S RAYMOND RD PARCEL:=- 29544--0410
ADDRESS== SPOKANE WA 99206
PERMIT USE SEWER CONNECTION ._ DISHMAN-MICA INTERCEPTOR PKG. 2
*** SEE NOTE ***
PLATO= 000382 PLAT NAME== CHESTER HILLS ADD.
BLOCK= i LOT= 9 ZONE= UR-3.5 DIST:=
AREA= F/A= F WIDTH= 160 DEPTH= 1 70 R/W::=
: OF BLDGS= 3 0 DWELLINGS- i WATER DIST
OWNER-: HEBERL..ING, ROBERT PHONE= 509 926 8628
STREET= 2.71 7 S RAYMOND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A PLUS CONSTRUCTION PHONE NUMBER= 509 922 4594
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR=- NA
***************************** SEWER PERMIT ******************************
CONTRACTOR=:: A PLUS CONSTRUCTION PHONE.- 509 922 4594
STREET= PO BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE:E:_._____. ...��.����� ��_ _~i 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT .50.00 .00 50.00
_._.._._ }0.00 .00 50.00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456_..3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 2.4 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************