1991, 10-01 Permit App: 91006334 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
=-'1-=..±_?J*".?.: E NUMBER= 91006334 APPLICATION O r..,..' .. •• •i („701 PAGE= 01
.jj.t!..!}..}....,.* THIS t �" NOT (^± PERMIT :}±:_±j.1(.j.1j..j}.
?: I::'::;;.-',; ,.. FOR COMMENCING WORK WITHOUT _ .., :
ADDRESE= SPOKANE WA 99206
:*K* ... ........ NOTE J?....!?.
PI A ti.?2764 PLAT NAME= { } ? '' .?.TY PLACE
ZONE= Ej_
BLOCK= LOT= ?;; {.}?�,??;".... r'•i%s,':Yi..)is .i..`'4 c ..
AREA-. .. .. 0i.. _%!:%0 A::. S," WIDTH= E.jE. I I1 •
OWNER— HUGGAR, RAY L PHONE=
ETREET= 10511 E 9TH AVE
ADDRESS= EPOKANE WA 99206
CONTACT NAME= EIMPSONPHONE ±`*j1l?`:•iB{.:"±: ,. 509 _..... 4781
BUILDING :::E..t '._'i:::.,,: • • FRONT= N A LEFT= j`,A RIGHT= NA REAR= NA
:;.n;.:{.:j.a;.*:;;::±..*:±;.****....ij.:;.::a•.:,::(.:(.:j.:j.:j.:,..y:.:±:.p}. sEwaR !.+ 'R f:{ ""i r)±:'P:***/t•*-Pr*i±::!i.ni•.•li:..... ••..}!r.; ..i±r;•:'t•:v_:.!:** ±r !r
CONTRACTOR= ':`';r M F SON i t' -v:±:.,. ,.i..{,O N PHONE= 509 9 ....... 4781
A t4FE: :::: , Pt±V AN::. WA 992-! 2
ITEM DESCRIPTION QUANTITY 1--?::..... A?"t E 1 E i N
PRUCESEING FEE 10,00
SEWER CONNECTION 'i 40..00
FLkMil IYPE E::. .. :::{±`iFi1Eta.. AMOUNT PAID iAMOUNT OWING
•
PROCEESED BY : JULIE EHATTO
PRINTED BY : JULIE SHATTO
:.:E{.c??::.E' STUB U!: {±:'> B?, tE E INFORMATION I_. AVAILABLE AT THE COUNTY
CONTRACTOR !R A .P±....I.!.:±--}i!•1 1.::: iO hIELD LOCATE AND CONFIRM
ELEVATION AND !«'t.!,.. .!. ? .?.{_?E'•% OF ,::?::.is E::.?": STUB PRIOR E_: ':t."••!'. OTHER
.
EXCAVATION
I i{ ? ,±i.r•:± ? ?::. BURIED ?.:s`-•1Hi...?::.::: ; GA,.: PIPING , WATER .......N?::..:. , ECT ,
CALL BEFORE YOU DIG (456-8000)
sLWER STUBS ARE TO i ±•+i::. CHECKED PRIOR i••R CONNECTION "; E_; L.
r
THAT tHE } ARE CLEAR AND UNOBSTRUCTED THE SEWER MAIN
,±?..??...?..!±..,1:.'.:::!::}y. CALL ±.. •,. ... .. f•,• 'E A.F .. COVER, .:e:.1:i};*;!!::j..!.:±1:::;jl;
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.,,..:}:;±: •!!:•!?•1?••f?•1!::`:�-!r 9???1?!�.1:)•.!?!?!!,}?.j}:.j±:.jl:.�1::!±..jt._}±:.j}.�}. THANK you{_t :t:.j:..¢-.)t-:!•!? .. ..............................:. ......?....... .. :.