1991, 10-02 Permit: 91003942 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 authorizen ka County to proceed with processing. In additionI have reaand 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= 91003942 I%%UED PERMIT DATE= 10/02/91 PAGE= Oi
**************************** pERMIT INFORMATION ******************** *******
SITE %TREET= i2824 E 61H AVE PARCEL4= 22542-2446
ADDRE%%= %POKANE WA 99216
PERMIT U%E= SEWER CONNECTION - 8801
** EEE NOTE
PLATt= 001692 PLAT NAME= MORROW ' S ADD
BLOCK= 2 LGT= 4 ZONE= AGSUB
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= P/W=
0 OF BLDG%= i 0 DWELLINGS- i WATER DIET =
OWNER= HANDLEY PHONE=
STREET- 12824 E 6TH AVE
ADDRE%%= %POKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 50? ?26 P9�4
BUILDINF, FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOH.= H & % CGN%TRUCTION PHONE= 509 926 S964
%TREET= 1i817 E VALLEYWAY AVE
ADDRE%%= %POKANE WA 99206
ITEM DE%CRIF'TION QUANTITY FEF AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10 , 00
SEWER CONNECTION i 4O . 00
*** *********** ************** PAYMENT %UMMARY ****************************
P�Y�ENT D�TF RECEIPT:!!: PAYMENT AMOUNT
10 /91 72O5 5O . 0O
TOTAL DUE=DUE= .00 TOTAL PAID= 50. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 .00 5O.O0 .00
------------- ------------
50, 00 50 , 00 5O . 00 .00
PROCE% ED JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION GF %EWER %T;3 PRIOR TO ANY �THER
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (451-8OOO)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INJU�F
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER ******** *
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36�4 **********
******************************** THANK YOU *********************************