1991, 12-11 Permit: 91006599 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 athorize Skam 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. 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= 91006599 I%%UED PERMIT DATE= 12/11 /91 PAGE= Oi
*************** *********** PERmIT INFGRMATIoN ****************************
SITE STREET= 10505 E 9TH AVE PARCEL4= 20544-0215
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - ULID 88o2
*** SEE NOTE ***
PLA 4= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 2 LOT= Z3NE= C.:.,.:;!U
AREA= 00000000 F/A= F WIDTH= DEPTH= R/�=
4 OF BLDC%= i 0 DWELLINGS= i WATER DIST =
OWNER= NICCOLL %, KENNETH PHONE=
STREET= 10505 E AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= %IMP%ON SANITATION PHONE NUMBER= 5O9 926 4 (81
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= %IMP%ON SANITATION PHONE= 509 926 4781
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40. 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/11 /91 9370 �0.6c)
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT ;WING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 .00 50 .00
------------- ------------
50,00 50 ,00 5O .0O . 00
PROCESSED BY : JULIE %HATTG
PRINTED BY : DOMITROVICH, ROBIN
SEWER 'Ti. B A%-BUILT INFORMATION I% 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 INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COYER **********
**** **** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
* **************************** THANK YOU *********************************