1991, 12-19 Permit: 91008697 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.
OWNER OR ASIGNATURE OF 401 GENT - - . . , .10" �, _ . APPLICATION /� �_/c- —
(
lt.):.!#::.%. : NUMBER= i•:1`•:.J :i6r f .i.S. ..�t..'•#...).? )::i4"....... .d.T DATE=#::.'' -# ..... •? PAGE=
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SITE STREET— •# : '# S ROCKY RIDGE is i'. .'-'f••i#'°•:�..:#::.e... •. 26531 -4605
ADDRESS= SPOKANE ttt(::i, 99212
PERMIT USE-, SEWER CONNECTION .... HEATHER PARK
ADD .... (94E-155 )
:iC;i' SEE E NCI 3 E•, *iu:•:•
PLATO= 001170 PLAT NAME= HEATHER PARK 1ST ADD
BLOCK= 7 LOT= 5 Z.
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AREA—.-.. i;!: i•000 00 �• /f F WIDTH= 0 DEPTH= 140 r'' /ItJ:::: 50
i tai ..t„•,:-.... :, 7; DWELLINGS= 40 WATER DIST .... SPO CO WATER DIET43A
OWNER= ' INS :NED
509 483 0302
STREET= 2630 E rr : JOR ' AVE
ADDRESS=
SPOKANE WA } 2!,r :
CONTACT NAME= GREG s<r#...IA PHONE i::. -UMBE:.R:::: 509 467 8264
BUILDING SETBACKS : FRONT= 30 LEFT= 10 RIGHT= 5 REAR= 70
Jiirli . j . j. J .i } 1 : 9jJJ : : : Pjj. qSEWER •r . , T_ jN: [ i, * i :: S ;. :
atyP ! `Yi 7R; ei 1
CONTRACTOR= UNKNOWN PHONE=
UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEl:. taMOUN..i.
PROCESSING :, , ..{ Iii . 00
SEWER CONNECTION '? 40 ,00
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PAYMENT DATP Y: #".?::.t.:::. ..: # ;Y_ PAYMENT AMOUNT
12/19/94 . '?-! . 50,00
TOTAL DUE.... ,00 TOTAL #-f'•7.#.D 50.00
3
PERMIT tri:E FEE AMOUNT AMOUNT PAID r,:t1''fi"t't„3v OWING
:.. ....:t.:....,R P r:.R M I 50_f a 00 50. 00 ,00
50 ,00 50 .00 ,00
PROCESSED !: Y : JOHN #...ARS,.t!t
9 PRINTED ... Y : 4E NEI.. , GLORIA
l.A
# ::t':W E '- _.. t t i t•S AS—BUILT i,N:'•I t('iMA IL.•N IS AVAILABLE AT "f H 1.. COUNTY
i UTILIIIES DEPARTMENT (456-3604)
CONTRACTOR f..i#'. APPLICANT IS TO FIELD! I,?E.r��i�t €:. �ry Yd,�_! CONFIRM�-�''.;%Y _t-E..t#:..
ELEVATION i.lU' ANDa'ti ? .?.4.1#=,' t-{{ SEWER STUB :'#.i.iii TO ANY OTHER
EXCAVATION
TO LOCATE it-.A i BURIED CABLES, GASPIPING, WA fE. . LINES, ....... . ..
t CALLYOU DIG
WATER
9
SEWER STUBS ARE i•::... t +..? BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT? #"#?-."! ARE CLEAR AND UNOBSTRUCTED TO THE!?::. :'.t ix;i::.#':,, MAIN
I 'N:•R:'i3:'}':a i!:ik 7i'4t ::r.:?!...�. .t!`•. t>) # F,t t�Q #•:#•t T.t!?'_. ! t.t t.;t,: ..t'+: 'tk*4t:'13:i!''•?k.y:'Y:?k'N:
9 Y " xtx*l ; ::•'. aHOUR
` • _ f 2 ,; REQUIRED ...
t:>.•1G ist'-j{*.e;;ti.Ai.3iJ.e.
...i;..ij..is:*'ii'lir•:!:'Ji 456-3604 if:**** ****
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.. ...:. ......:....... ......!.!.....1...?{7i.:.}•..i!!4•*9!•iNr THANK Y!..3 i.. Jl..}y..iir.i..i:..)..:,,a!•3j•)'•P•lir!t'}j•7t t!t**)i.ii..ii..ii..iL.ej.Jt:•.,:..i}.aj.a!:JF*.'-Y J!r
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