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1991, 07-09 Permit: 91004066 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= 91004066 APFt..ICATI.ON. DATE=:: 07/09/91 PAGE= 01 ***** THIS IS NOT A PERMIT **k •** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 3.107 S 5K IPWORTH RD PARCEL41:= 2.8543_..560 f ADDRESS- SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO * SEE NOTE 3** F'i...AT4- 001393 PLAT NAME=:: KOKCIMO TOWNS:FTE: BLOCK= 56 LOT= -ONE:: UR-3.5 D:IST4-- AREA== 0000(.,OOu F /A= F WIDTH= 100 DEPTH= 330 R,.W=:: OF BLDGS-- I 11: DWELLINGS= 2 WATER DIST :::: OWNER= HATCHER, HAZEL. PHONE= STREET= 3107 S Sic:IF'WOF<TH RD ADDRESS= SPOKANE WA 99206 CONTACT NAME= FORD CONSTRUCTION PHONE NUMBER= 509 924 6182 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR::: NA ri• :•***xii***•*ii***•bi**•*aibk**a•a*•A* PERMITS "I "R _. 4 *7k it Jt•9C at•b.••ir ik bl 3k*'b:7t•ii••It••)k•A.••}i)t ii••A•i?'i{•7{••)t•M.•$:'P:•P: CONTRACTOR= FORDS CONSTRUCTION PHONE= 5")9 92=+ 6182 STREET= 1425 i" UNIVERSITY Fdt ADDRESS=:: SPOKANE WA 99206 ITEM DESCRIPTION QUANTITY FEE:: AMOUNT PROCESSING; FEE Y 10:.00 SEWER CONNECTION i 46..06 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 ,.00 50.00 50.00 .00 50.00 PROCESSED BY : ...uii.IE SHATTO FAINTED BY : JULIE SHATTO SEWER STUB AS—BUILT INFORMATION IS AVAILABLE: AT THE COUNTY UTILITIES DEPARTMENT (456..-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE:: AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, E:CT, CALL BEFORE YOU DIG (456-8000) SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN a,,•****** * CALL FOR INSPECTION PRIOR TO COVER ****•n*•>~h*.A ***N •*** • 24 HOUR NOTICE REQUIRED kh•***x•**it* *#Afro#•h:•k•* 456-..3604 ****3i*•k*},;..p. *** * * ** * ***3 * **** THANK YOU ********************************Y: IMPORTANT MESSAGE) FOR—ZL-t- l L DATE TIME M J - OF C 11/1 PHONE C7 AREA CODE NUMBER EXTENSION TIEUIPHONEDPUM$ECALL • CAMETOSEEYOU *AIL CALL.AGAIN WANTS 10 SEE YOU FLUSH • RETURNED YOUR CALL • SPECIAL.A'7 1 MESSAGE S 3 1vc7 S k-„� o f1/4-c o(-CD (i_tf/9- c_ ft f—c - ' © �v f SIGNED _ LS2J' �+ UTHD IN U.S.A. i TOPS 9 FORM 3002P r G set 0 ,s . /1.( 9 _ / �� q'?