1991, 09-10 Permit App: 91005668 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
. -
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oem/vmut/xavooxummoom/opmm/vapnncanon.otommumhom/o,munonvontamoumnunuouum/mouuvmoonnvagenuovomnneoump rmit/application is true
and correct, and authorize Sokane Conty to proceed with processing. In additionI 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= 91005660 AflP|'ICATION DATE= 09/10/91 PAGE= 01
* **** THIS Is NGT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
%ITE STREET= 1O5O6 E 9TH AVE PARCEL4= 20544-1110
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - 8802
*** SEE NOTE ***
PLAT4= 002704 PLAT NAME= UNIVER%ITY PLACE
BLOCK= iO LGT= ZONE= AG%UB DI%T�=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= HERDA, JEFF PHGNE=
STREET= 10506 E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JEFF HERDA PHONE NUMBER=
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
* ************* ******* *** %EWER PERMIT **************************** *
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 .00
SEWER CONNECTION i 4O . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 .00 50 .00
------------- ------------
50,00 ,00.00 5O . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIH.M 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 *************************** *****