1991, 10-21 Permit App: 91007015 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
t`±'='?-i ±I••:. ' NUMBER= 91 ;.j0 01 APPLICATION D,-!.•, 10/2i /91 PA 0'
* *K** i t•: ± .\ TS NOT t i-` PERMIT *!i-P--R-*9!i
PENALTIES WILL t•!.., ASSESSED {"o{'t: COMMENCING WORK WITHOUT A PERMIT
SITE
TREET= 3026 S RAYMOND CIR PARCEL4= 29544-0903
fr±..jDRE:.S = SPOKANE A`± 99206
PERMIT USE= ,-i::.i;?::R CONNECTION .... SOUTH K i?{[iMi_i
PLATO= 000376 PLAT NAME= CHESTER HILLS HEIGHTS
BLOCK= =s ! r± ? = ,r; r i i E•a?-... f.:?i Y i-;'� );}'- , .,,..... L:
AREA=_::A::.: !.. r f.t.... ;.. WIDTH= 100 DEPTH= 145 :.., .a1= 50
:n: OF ±5± Ett.:. ,,:::: 'E ?r E,!±.tit-! E 1 N;. ` = 2 WATER D :"2- ....
. OWNER= STAMPER, VICTOR PHONE== ::}!::!'tip 928 9093
STREET= 3 i»i S RAYMOND i,-• ±.?-`•.
:•-'ADDRESS= ,.::SPOKANE WA 99206
CONTACT NAME= TLC:: PHONENUMBER :: 509 927 6760
BUILDING SETBACKS7 FRONT= NA LEFT= NA RIGH.I :... NA NEAR= NA
..!! a. .!? 1, :! R 34.9k:!!:•!k A.'P'•R-'J*:'1t--P:7!:-7!:iF:P:•tt;9:'!!:3P i!:•!!• ....±;_E i;;,R PERMIT ***************** ***********K
CONTRACTOR= TLCCONSTRUCTION
:t { . tU : i ?
PHONE= 509 927 6760
S , '. . ,= 13816 r12THAVE
ADDRESS= SPOKANE WA 99216
ITEM EM f7ESr,:R.IF: ? I±_1N QUANTITY ?"?::.::.. AMOUNT
PROCESSING FEE 10„00
SEWER CONNECTION 40,00
PERMIT
TYPE
•'r ` :: ?'•+E . AMOUNT AMOUNT PAID 'C)!.,IN a• OWING
SEWER PERMIT 50, 00 „00 50,00
50, 00 „00 50 ,00
PROCESSED s:;t : JULIE y'HA i i„?
E''''t:.I.N E L:.tt BY : jULIE SHATTO
SEWER STUB i..1± ,.....B1.1 } ? i• .i. °ii ;R',"lini til'4 :.,.. AVAILABLE AT THE COUNTY
E
-:'Y'
ti
CONTRACTOR c:F: APPLICANT I:' I :._ Dr i...f•.±.. AND CONFIRM THE
ELEVATION i•+±N t 7 POSITION OF i' :: t::.Ix1'E •I I,.:....PRIOR i ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, :rFt=: _.fi-..
_PWATER ER i...i.NE,.. ECT,
T
CALL BEFORE YOU DIG (456-8000) .
SEWER R :. ....iB ARE TO BE CHECKED PRIOR CONNECTION O ei:•L.l�'t°E
THAT THEY f f"iRi:: CLEAR AI": AE` j }I7 OB -:ii'`T ij .t.iI THE SEWER MAIN
:
$ ?i* !i)i•*?!i** E. ±E •: INSPECTION PRIOR 10 COVER **7!i**'R''A-***
4f:i!!i 9G.,:..,?.-ic:!?-4e4(- 24 HOUR NOTICE REQUIRED r...y..,.....:.....:...:!.....}`r
II .t?_:t;.j,.:?...j,.:=i.:1.. 456-3604 1": i..i.:t,K*:!,."i.:!?..
} .: s : tt) *} : :7 : : ts :::.:-..:...:.,. c ! i:.?i.. c: : ! : t t YTHANK t E : : : : ;: :: } : : 4.: : : :: : ;: {* ii :: : } ::.!:..7
SEWER/PLUMBING PERMIT APPLICATION FORM t°
INFORMATION WORKSHEET 7 (7 7
JOB STREET ADDRESS' ' ��,..2 �j - r 91-i. 0'10
CITY/STATE/ZIP: _ 4 =+ - LIQ `--'
- PARCEL N MBER:
MAILING ADDR SS: ccs
OWNER: ' Cvr9-92/L---J PHONE NUMBER: g J— 94 S-3 ^ti. i 3 t
(Street) (City/state) (Zip)
CONTRACTOR:CAUe PD,E EXCAvrvrnoAl LICENSE NUMBER: COLI eccatx-814'1
PHONE NUMBER: gag-64135
MAILING ADDRESS: E. !bl-IQ,? UAUEYwickY {IVE Vee bA- tAn- 99037
(Street) (City/state) (Zip) D PC •
X EACH a- 75090
DESCRIPTION UNIT =AMOUNT
SEWER CONNECTION X 50.00 = J
PLUMBING ALTERATIONS X 35.00 =
SUBTOTAL $ ee ,
EQUALS: TOTAL —,., c---__c:PEMIT FEE DUE _$
SIGNATURE L / - 6-e--6,1 -�
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675