1991, 04-24 Permit App: 91002038 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/certify that/have examined this»mm/vvpnovm/on.state that the information contained mnand submitted uvmoonnvagent mcompile said v nnu�vvxuoovn/otrue
and correctand authorize SkCounty to
proceed with processing. In addition, have m
Iu understand
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 APPLICATION0WmsnORAGEwT DATE
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PROJECT NUMBER= 91002()38 APPLICATION DATE= 04/24/91 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIE% WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
%ITE STREET= 804 % WOODLAWN RD PARCELO= 22543-0213
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO
*** EEE NOTE ***
PLAT4= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= 2 '
/—A== i ZONE= UNK DI%T4= F
AREA= 0000000FFWIDTH= DEPTH= R/W=
0 OF BiD = 4
DWELLINGS= WATER DIST =
OWNER= COX, JEFFREY M, PHONE= 5O9 927 9377
STREET= 804 % WOODLAWN RD
ADDRES%= SPOKANE WA 99216
CONTACT NAME= H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
%TREET= 1i817 E VALLEYWAY AVE
ADDRESS= %POKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 48.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 5O.00 .00 50.00
------------- ------------ -------------
50.00 .00 50.00
PROCESSED BY : FORRY, JEFF
PRINTED BY : FORRY, JEFF
�
SEWER STUB AS—BUILT INFORMATION I% AVAILABLE Al.. ...HE COUNTY '
UTILITIE% DEPARTMENT (456-3604) |/
! CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELE"ATIGN A�D PO%ITIGN DF %EWEP %TUB 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 INSURE
THAT THEY ARE CLEAR AND UNOB;.,AkUuit....0 TG THE ,..,..EWER MAIN
********* CALL FOR INEPECTIONj PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
' ******************************** THANK YOU *********************************
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