1991, 05-16 Permit: 91002624 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 correct, and authorize Spokane County to proceed with processing. In addition, I
provisions included herein and agree to comply with same. All provisions of I: and ordi
herein or not. l understand that the Issdance of this ermit/application and Ti bsect
give authority to violate or cancel the provisi. ns•in re
st. o i al lawe/ cd / r• i
laws regulating constructidn. /
SIGNATURE OF .s/ 1 ' /ACMES
OWNER OR AGENT ®/
d submitted by me or my agent to compile said permit/application Is true
e read and understand the INSPECTION REQUIREMENTS/NOTICE
ces governing this type of work will be complied with whether specified
spectlon approvals or Certificates of Occupan shall not be construed to
on, oras a warrant9 of conformance with the pr • vision _. .f any state or local
APPLICATION
DATE
PROJECT NUMBER= 91002624 ISSUED PERMIT
DATE= 05/16/91 PAGE= 01
**************************** PERMIT INFORMATION *************************4**
SITE STREET- 212 N WOODLAWN LN
ADDRESS- SPOKANE:: WA 99216
PERMIT USE= SEWER CONNECTION - SHIRLEYS'IST ADDITION
*** SEE NOTE ***
PARCEI_v= 15543-2507
PL.AT4= SHIRLS
BLOCK= 1.
AREA=
4 OF BLDGS=
PLAT NAME= SHIRLEYS 1ST -ADDITION
LOT= 9 ZONE' UR --3.5 DIST:-
F/A= F WIDTH= 75 DEPTH= 109
' DWELLINGS= 1 WATER DIST = MODERN
OWNER= HUFFMAN, SHEL..LEY
STREET= 17927 E APPLEWAY AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= SHELLY HUFFMAN
BUILDING SETBACKS: FRONT== NA LEFT= NA
PHONE=
F
R/W= 30
PHONE NUMBER= 509 924 3013
RIGHT-.. NA REAR= NA
***************************** SEWER PERMIT *****************;*******A******
CONTRACTOR= OWNER
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
QUANTITY
-----------
Y
PHONE=
FEE AMOUNT
----------
40.00
40.00
*******************************.PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/16/91 2930 50.00
TOTAL. DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
SEWER PERMIT
PROCESSED
PRINTED
FEE AMOUNT
50.00
50.00
AMOUNT PA]:I)
50.00
50.00
AMOUNT OWING
.00
.00
BY: WENDEL, GLORIA
EfY: WENDEL, GLORIA
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANP CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL.. BEFORE YOU DIG (456-5000)
SEWER STUBS ARE TO BE CHECKED PRIOR',TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 h.*********
******************************** THANK YOU *fE******************************H•
•+ a .�s.^w..
SPECIALtCONDJTIQf 11CHECKUSTn,
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Filed insp finaled by:
Date •
Ninety days after C/O issuance:
Owner/contractor called regarding -the return of plans: Date'
Plans returned: , Received by
No response from owner/contractor - plans destroyed.