1991, 12-18 Permit: 91007715 SewerSPOKANE 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 n 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= 91007715
I%%UED PERMIT DATE= 12/18/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 806 % ROBINHOOD %T PARCELO= 20543-1129
ADDRE%%=
SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - DI%HHAN MICA INTERCEPTOR PKG 2 (91-%27)
*** SEE NOTE ***
PLATO= 002366 PLAT NAME= %HFRWGOD %OUTH
BLOCK= LOT= 2Y LVNL= DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH=
OF BLDG%= 4 DWELLINGS= WATER DIET
OWNER= GROVE, D.E.
STREET= 806 % ROBINHOOD %T
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= TOM E-- 7. EXCAVATION
PHONE=
R/W=
PHONE NUMBER= 509 928 7710
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTR
���
ADDREJ
M ....;TONE EXCAVATING
PO BOX i4154
SPOKANE WA 99214
ITEM DESCRIPTION
-----
PROCESING FEE
FEE
SEWER CONNECTION
QUANTITY
--------
Y iO.S
i 4O.0
PHONE= 509 928 7710
FEE AMOUNT
----------
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/18/91 9535 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
---------------
SEWER PERMIT
PRO[E'
�
PxIr
FEE AMOUNT
-------------
50.00
-------------
5O.0O
BY: DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
AMOUNT PAID AMOUNT OWING
----------- _____________
50,00 .00
-----------
..................
50.00 .00
SEWER %TJB A% -BUILT INFORMATION IS AVAILABLE
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT isTO FIELD
ELEVATION AND POSITION OF %EWER %TUB
EXCAVATION
TO LOCATE
CALL BE
AT
HE
COUNT
AND CONFIRM THE
TO ANY OTHER
RIEDCABLE%, GA%_PIPINr, WATER LINE%, ECT.
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}RE YOU DIG
PRIOR TO
[RUCTED TO
PRIOR TO [
IT RED
FION TO IN%URE
R MAIN
**********
**********
**********
***************************** THANK YOU *********************************