1991, 11-20 Permit: 91007039 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 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= 91007039
ISSUED PERMIT DATE= 11/20/91 PAGE= 01
****************•**•********** PERMIT INFORMATION ****************************
SITE. STREET= 11004 E 5TH CT PARCEL4= 21542=-i 103PTN
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — HEARTLANI) 2ND — DRY LINE ONLY
*** SEE NOTE. ***
PLATY= 005048 PLAT NAME= HEARTLAND 2ND ADDITION
BLOCK=== 4 LOT= 5 ZONE= UR --3.5 DIST:=
AREA= F/A= F WIDTH= 80 DE..PTH= 145 FR/W== 60
a OF BL.DGS= 0 DWELLINGS= 1 WATER DIST = MODERN
OWNER= D & B BUILDING PHONE= 509 926 0755
STREET= 12018 E 1ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CHRIS SWANSON PHONE NUMBER= 509 467 6200
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*3e*************************** SEWER PERMIT *.*.••****************************
CONTRACTOR= D & B BUILDING INC
STREET== 12018 E IST AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
SEWER CONNECTION
PHONE= 509 926 0755
FEE AMOUNT
10800
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTv PAYMENT AMOUNT
11/20/91 8843 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: WENDEL., GLORIA
PRINTED BY: DOMITROVICH, ROBIN
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, ECT.
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
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************