1991, 08-14 Permit: 91004996 SewerSPO,KANE.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 o laws and ordinances governing this type of work will be complied with whether specified
herein or not. l understand that the issuance of this permit/appl' ation and: y subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or . cal law r ating construction, or as a warranty of conformance with the pfovision; of any state or local
laws regulating construction.
SIGNATURE OF w -
OWNER OR GENT {!/./rn 4 // DATE APPLICATION
.7 9/
PROJECT NUMBER= 9/004996 ISSUED PERMIT DATE= 08/14/91 PAGE= 01
3e*..x..tt•.******** t•>i•**** *nt+a+**t+ut+ PERMIT INFORMATION)r3i.h.H..h..YF.)r)fkifie)r*ii-)i#iefii()iriiPa..H..h.ii..**
SITE STREET= 211 N WOODLAWN LN
ADDRESS= SPOKANE. WA 99216
PERMIT USE= SEWER CONNECTION
*** SEE NOTE. x•f•*
PARCELO== 15543-2507
PL_AT0= ,SHIRLi PLAT NAME= SHIRL.EYS 1ST ADDITION
BLOCK= i LOT= 2 ZONE= UR -3.5 DI.STM'= F'
AREA== 00000000 F/A= F WIDTH= 75 DEEPTH== 109 R/W= 40
OF Id L'(:;S'= i v DWELLINGS= i WATER DIST == MODERN
OWNER== HUFFMAN, KAREN PHONE= 509 924 3013
STREET= 17927 E APPLEWAY AVE_
ADDRESS= GREENACRES WA 99016
CONTACT NAME= D HUFFMAN PHONE NUMBER= 509 922 1 260
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
.*.##3E3E****3i#.p.****3E****3e3E3E****# SEWER PERMIT#3i3ik3e3i#3i#3e#3E3E3e3rr)i)i#ieiERie3euii#ri,erifC
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
x*3e******3e*3e*x* e*3ex3E#3e)eM****** PAYMENT SUMMARY*****3i***•*de*)Eii***3e*ii3ne****ieit•
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
08/14/91 5610 50.00
TOTAL DUE=== .00 TOTAL PAID 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: JULIE SI-IATTO
PRINTED BY: JLJI_.IE: SHATTC)
SEWER ,STUB AS—BUILT INFORMATION IS AVAILABLE AT THE: COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT 1S TO FIELD LOCATE AND CON'rIRM THE.
EELEVATION AND POSITION (JF ,SEWER ,STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE_ BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURIE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
3E3E3Eii3E3E*** CALL FOR INSPECTION PRIOR TO COVER 3E3i3i3E3E3eri3E3E3e
3i****#*** 24 HOUR NOTICE REQUIRED 3E3E#43E3E#3E3i3e
•x3e3E;E3E3e*** 456-3604 3i3E3E3E3E3E#3E3E3E
##3E3e3f****3E*thiF3e.)i.3i.**3e3e**3e#*##3r3e##3E THANK YOLJ•)EX#*****3t3e3e3E3e3e3E#3E3E#¥3i****#Jf#3i3i**.$