1991, 10-07 Permit App: 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 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= 10065APPLICATION DATE= 10/07/91 I AGE= 01
**iiia:** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET-: 10505 E 9TH AVE FARCE::I_.O 20544-0215
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION •••• UL.II) 8802
*** SEE NOTE ***
PLATO= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= ? LOT= ZONE= AGSUB D:I:STM=-
AREA=
4Cw- 9: ry; yyr C! n- FWIDTH= FFTr - R f`W::::
0 OF BL..BGS:::. I DWELLINGS= •1 WATER DIST =:
OWNER-: NI CCOL..I_. ': KENNETH F:'HONE-.
STREET'-:: 10505 E: 9TH AVE
Ah DRF SS= SPOKANE: WA 99206
CONTACT NAME= SIMPSON SANITATION PHONE NUMBER= 509 926 4781
BUILDING SETBACKS : FRONT= NA LEFT= NA R.I.GHT::: NA REAR= NA
•7i•}i yi yl•*•}i•ti•!i ii*•)i'N:•Yi'!{•A•*R•N:)i$i•N:*•N:•!i ii A:•Ni 3i•P' SEWER "'E:.rt;1"l l 'A:••Yi*9l••A•bi•yi li b:P:•3l•'li'li*yC:p:Jl••u•b:b•'A•**•ii ii is*'P:'a:9k
CONTRACTOR-:: SIMPSON SANITATION PHONE= 509 926 4781
STREET= r`C'si ? E I:BALDWIN AVE
ADDRESS= SPOKANE WA 992. 2
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE: f' 10•:00
SEWER CONNECT ION 1 40.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWERR a ' 50„00 00 50.00
50. 00 .:00 50,00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (45 :--3604)
CONTRACTOR OR APPLICANT - TO TO FIELD LOCATE:: AND CONFIRM THE
ELEVATION AND POSITION OF SEWER R STL.IB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER. LINES, ECT.:
CALL BEFORE YOU DIG (450-8000)
SEWER .... { ARE TO BE:: CHECKED PRIOR TO CONNECTION TO ENSURE::
THAT THEY ARE LI...IEAR AND UNOBSTRUCTED TO THE: SEWER HAI
ii'b:'/l•'b:'tl''R*•Rl'7i CALL FOR INSPECTION PRIOR TO COVER *ll'**'b:'ll•)!''A*
********* 2.4 HOUR NOI"ICE:. REQUIRED **********
xnxa:*91*)iri 456-3604 R.k. .**.tt*Jt**
:p•****'il)i********)i*it•'1i*ii*****ii•**i{) * THANK YOu A+*****ai****:Kit*******•'r.*********h •x•