1991, 03-11 Permit: 91001036 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= 91001036 ISSUED PERMIT DATE= 03/11 /91 PAGE= 01
3i3ix'3i•3i3i3i•3i3iii3i3i3ixri**3i3i**3i3i3i•#3i3i3i PERMIT INFORMATION *****•*i{•***vti>iib•*ifiiitniEiiri•)iiii}ii•7t•3*
SITE STREET= 2504 S UNIVERSITY RD PARC:Ei_.:r=: J.J4;
;.arrG.; ....t-i- ,;yG
ADDRESS== SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION FOR RESIDENCE CHESTER HILLS
3i*3i SEE NOTE:: 3t•*
PLAT4= 000382 PLAT NAME-' CHESTER HILLS ADD:
BLOCK= LOT= ZONE= UR 3,5 b:C T4= E'
AREA= I/A= WIDTH== DEPTH=('H== R/W=:: ,,
I' OF BLDG:= '; :: DWELLINGS= WATER DIET =
(:IWNER=: QUINN, TIM & LOIS PHONE= 5O9 927 816
STREET= 2504 S UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TIM QUINN PHONE NUMBER:- 509 927 81 61
BUILDING SETBACK., : FRONT= NA i...EFFT:::: NA RIGHT= NA REAR==- NA
:, * * fl(....3,:3{..it 3i 3i 3i x•3i 3i 3r•ii 3'i hi 3i*x•x•*a SEWER PE.RMIT x x•***'&**** .y,:.n*P'n:i!'*'P:*')t..}( :•P•ll•F.P:9!•A:•A:
CONTRACTOR= OWNE"FR
PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10.00
SEWER CONNECTION •i 40,00
x•**x•3i 3i 3i 3i 3i 3#3i 3i r**3i x•'ii 3i**3i 3i*3i•ii'3i*3i 3i 3i PAYMENT SUMMARY •ii 3i 3i x•*x 3i 3i x•ii 3i 3i*3i x•x'3i'ii 3i x••Rua:*Fi 3e**
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
03/11 /91 1163 50,00
TOTAL DUE"= .00 TOTAL. PAID= 50.00
PERMIT TYPE. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERM I 'i 50_00 50..00 0
50.:00 50..00 ..00
P'ROCES'SED BY : .JOHN LARSON
PRINTED BY : JOHN LARSON
SEWER..
I::.I~?E:FR S'('UIf 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 O1= SEWER STUB F'R1OF? TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES , ECT,
CALL. BEFORE YOU DIG (456-8000)
SEWER ''T'UBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED D TO THE SEWER I1AIN
*•R•R 3i 3i 3i N:x•3i CALL I O R INSPECTION PRIOR T O COVER ;<;i x•b 3i x•)~3i 3i
3i x•3i•3i 3i 3i 3i 3i•3i• 24 HOUR NOTICE: REQUIRED 3i'R x•3i 3i 3i•ii 3i•.3i
•u iii x•3i 3r x•b x'•R 456-3604
itr ki x:3r:3•i)i x•h:•3i 3•i
• ; ;-•• •;•• YOU3i•3i 3i 3i 3i 3i 3i 3i x•3i 3i•X'R 3i•3i•x•x•3i 3i 3i•3i 3i 3i»•3i 3i 3i 3i 3i)-:3i 3i..it'
•ar:r�:�!•�!••n•�:�!•fi•3i 3!•3i•ii•it•3i•x•}i x-x•it 3r x•3r x•k it 3:•3<3r 3i#3i• THANK f�l N F:
JOB ADDRESS: S' (:)./S-62 .,/ Cfi-/s / S iT
SUBDIVISION: LOT: BLOCK:
(c:✓i,1,i—)
OWNER: T,' 7-74 PHONE: 9,1 7-)-/j
ADDRESS: 6/4/// /z
CONTRACTOR: PHONE:
ADDRESS:
LICENSE # :
INSPECTION DATE:
TYPE OF OCCUPANCY: