1991, 09-17 Permit App: 91005687 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
..i, ! ,,..t.. 1 NUMBER= 91005607 APPLICATION ION .Ai!::.= 09/17/91 PAGE= 0.1
4L•it 3t'9t*•FL• t 1••1.!.:`:• .?.,::. NOT F'± PERMIT 9. 7. t.
PENALTIES ; ;,; I.:r'Ci'::'D FOR COMMENCING tt)t)?"-K WITHOUT iL PERMIT
SITE STREET= 3114 S RAYMOND CIR PARCELO= 29544-0905
ADDREE= EPOKAE WA' 99206
PERMIT USE= SEWER CONNECTION .... :..OUT?"( ?t•.t,aKE„Mi.}
000376 PLAT NAME= _.i'??::._; ! t-i•+; HILLS! i..l L: .I t L.i t` ,:
BLOCK= s LOT= ZONE= t.1?': 3.5 ').? !.St :ii:::::
s•
s r,
_
AREA= 00000000 ! .`i..L»: t.. WIDTH= DEPTH=t t..t= ;i J ;.i= 50
OWNER= t......rv.;_J :t•.t.:is!::...,- PHONE=
?;::.t::. ... 3114 6•t•'7(�# ;'s i s : i.?'.
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PH? NUMBER= 509 924
BUILDING : i ; : : FRONT= N : LEFT= ? ARIGHT— NA REAR— NH
****************K************ ':`i• !,i:"is PERMIT *****************************K
CONTRACTOR= :t.+U?"t;.:*'?}•'±i.??!::. CONSTRUCTION PHONE= 509 924 5485
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f•'± ?1.??"•:?::.:.::`r.... 4=`?::.,.i-•!t_t t•:t?...ti:. WA 99037
ITEM {;' l.:?.: t';"l;t.} QUANTITY ..k:.?::. AMOUNT
PROCEEEING_EEE 10,00
SEWER CONNEUtION 1 40.00
PERMIT TYPE ;..!::.!::. AMOUNT c a ;OUN r PAID AMOUNT OWING
SEWER PERMIT_i– 50..00 ..00 50.:00
50.00 ,00 ...0 .00
tt i..t:..l:: ,.. „ .,Y .: 11111? i::. ,:i:"?F'± ( ? U
?":` Ir
PRINTED 3 .i:{t1 : _i(a(...I!.':. EHATTO
SEWER ... ? 's t:= AE—BUILT t''•!?"i.±±';?"!r•'± ? .?.i.)?`% IS AVAILABLE A.t THE?::. l.,i.}t.7P@
TY
UTILITIES ..!.:i.; " 's•:i–N:• (456-3604)
CONTRACTOR ;E i•=: APPLICANT I, TO
FIELD
I .. € LOCATE AND;'s C!•iN(•:_i.Ri:'' THE
ELEVATION AND POSITION O SEWER R t i i i; PRIOR ..€ i.} ANY OTHER
i
EXCAVATION
TO LOCATE E }:iU3'tIa•D CABLE:`', GAS PIPING, WATER R LI?'t E:u , ECT,
CALL BEFORE YOU !?iiv. (•.45 •8000) .
SEWER STUBS t
. ETO BE CHECKED t
Ri' f
i: ( J
aji 1 : i:
INSURE
' ARE CLEAR }: UNOBSTRUCTED ISEWER MAIN
. . . CALL ri " INSPECTION PRIOR TO COVER 7 ) ) I; 3jfi )
i : ? ; i*iliZiNf: - K N } ! ! l ! i±U. MEt
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YOU
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