1991, 03-20 Permit: 91001225 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 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 OFp APPLICATION �
0"--e_____
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OWNER OR AGENT `� DATE :/'/ 11
i':ii.#r•#.: t NUMBER= 91001225 >SUE::, } PERMIT i:i#;+'•{•i..:::: 03/20/91. :E
jji7A} : P.. ?n..P il P ! t * PERMIT INFOR` ( I _ i
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SITE E i E"'•.i::. " t = 9611 r ? ' ;.E r:}V i• PARCEL4= 20542-1609
ADDRESS= ,..i''t i;:,(t#;`•?t::. WA 99206
PERMITUSE= SEWER CONNECTION r"`::... RESIDENCE E r:., C{:JNN'3'3::•
jt.j?..i?. i E E NOTE 1+:)t•1''
P i...(1 . 's^' ; 0;30 PLAT NAME= i ( CN { PARK
BLOCK= 1 LOT= 9 ZONE=
DE
AREA= # ;`A-: WIDTH=WIDTH= E` i I s:�;`iii=
't." �._...... ex=:. •ii• g}l,t::.,...L ' r'?+.:r:::.... WATER •DIST ....
OWNER=::.E'/z: KENNA DAVE PHONE= 509 922 6043
STREET= 96fl E 7TH AVE
ADDRESS= SPOKANE .,+f•# 99206
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CONTACT; {'Jr�t'{i-- :: DAVE 7;,E t`•NA -4 NUMBER= 9 ''•1'i 6043
BUILDING NE SE + B A+..:K : FRONT= NA LEFT= NARIGHT= NA REAR=(; R NA
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,.:t._Ix+�-::' PERMIT i+i.j(..ii.:Pi h:1{'•b:•$+i i+i•i+i i+t•$i•1i'*r!?*•i{•rni'i{'3C•*'i!i•iM1'A••P:•Jr•J+r•Jr•n:'rk
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
SEWER PROCESSINGCONNECTION .i 40, 00
+r:R..1..q.,.n..Pr 3+i'1!:'J+i.1;.•.k•.i':f,:.i?..:j:Jl••P:8`:*;n:'!?9l':+i +i'i+i N:'P::+:i:r•i+:•Pi PAYMENT =:,U;+M A i{ 'P:1t•P:•P:'Pr'A'•P::++:*.jl;.ij.* +}.P..14.!G ry¢'iti•i:}•i!i ,;::{•.i+: +r i'i••itr +r'i+t
PAYMENT DATE RECETPT4 PAYMENT AMOUNT
TOTAL DUE= i?+": TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT, F#MOt.3rJ ; PAID AMOUNT OWING
SEWER PERMIT 50,00 50,00 ,00 '
': : i0 . 00
PROCESSED BY : •..?+.»+?"?N <<.
LAROx:1
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PRID B'f : JOHN L(v;;•,,'SC:IN
SEWER E'° S'•+_ix AS—BUILT INFORMATION TS AVAILABLE AT THE COUNTY[ ( Et::.:: DEPARTMENT (456'3604)
CONTRACTOR OR R APP.:E...ICACi' IS TO FIELD P N I) CONFIRM T E••E E..
ELEVATION AND POSITION i..1:`.' SEWER STUB E-'Rf i (i f t 13 T OTHER
EXCAVATION
O LOCATE c;;::% 1 (" :f GAS" +'i'"NG WATERNvE:: I"•r-1•
?.:ALE... BBEFOREYOU DIG �Y56 8?:tJ0_i + '
EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED .T.(.i THE
SEWER
MAIN
1:'l+:;:.i?.x..u..:.''P:P: CALL FOR;R :.i'?x•Y•t::.t: .i.t 1 N PRIOR TO, .t+'S,`E R i+:ii•3i'•ii•ii*u)i••i+:*
..:. t•;1_,:-.:1•; NOTICE
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REQUIRED ) i ! 1 jjt: k7
' P :Pa" Rj 4 ;6. 3 !0 Y
•Pi•P: +i ik'Pr ik••!l•'Pi$!i'P:
t : *: ?1 } ` 1 } . jt1i ;: P h jj*HC j . THANK
N f Y f tfT1 i1 ** 11 , 111 . ! It1 : . Jjj: *4t ]