1991, 12-02 Permit App: 91008303 Sewer IMIMMUMEMIMMMMMEMMIMMMM
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfvmat/huvooxummoum/aperm/vannnoaoon.,tutomutmomm,munonxonmmoom/tunouuumutodurmoonnvagentmoompnouomn rmit/application is true
and correctand amon oCounty towithm
Spokaneproceed processing. addition, I have readunderstandtheINSPECTION
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provisions included herein' - of In/uwoand v, mn000 governingmwtynnn,wo,kwmueoomn/.ouwu»w»emv,o mpo
herein or not.I understand that the issuance of this permit/apn nonuno"nvxuuevvontmo»enuonuv»m" ls or Certificates of Occupancy shall not be construed to
give m / 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= 91008303DATE= i2/02/91 PAcE= �l
****** THIS IS NOT A PERMIT ******
PENA[TIE% WILL BE A%%E%%ED FOR COMMENCINI., WORK WITHOUT A PEHMIT
( --------------------------------------�--�----------------------------------
| -
SITE STREET= iO516 E 9TH AVE PARCEL0= 2O544-i102
ADDRESS= SPOKANE WA 99206 |
PERMIT USE= SEWER CONNECTION - U-HIGH SEWER DI%T 488-O2 (91 -Ji02)
*** SEE NOTE *** - '
^ PLAT�= 0O27O4 PLAT NAME= UNIVERSITY PLACE
� BLOCK=- lO LOT= 2 ZONE= AG%UB DI%T4=
AREA= 8OOO8OOO F/A= F WIDTH= DEPTH= R/W=
�^ OF BLD�%= i �� DWELLIN6%=' 1 WATER DIST =
OWNER= FLECK , C H PHONE=
Ti% EET= 105i6 E 9TH AVE
ADDRESS= SPOKANE'
99206 �
CONTACT NAME= FORDS CONSTRUCTION PHONE NUMBER= 509 924 6i82
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
l �
*****k**************** ****** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 5O9 �26 8�64
.
STREET= 11817 E VALLEYWAY AVE �
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
' ------------------------- -------- ----------
PROCESSING FEE - Y 10,00
! SEWER CONNECTION i 40.00
' PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
� --------_------ ------------- ------------ ------------- �
SEWER PERMIT 50.00 .00 50.00
^ O�5O �� OO 5O
^ ^
�
PROCE�%ED BY : DQMITROVICH, ROBIN
PRINTED BY,: DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES 'DEPARTMENT (456-3604)
OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
-CONTRACTOR
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
) EXCAVATION
TO LOCATE BURIED CABLES �A% PIPING , WATER LINES, ECT
� ' ' ^
CALL BEFORE YOU DIG (45�-8OOO)
.
SEWER STUBS ARE G B cTO CONNECTION TO INgURE
THAT THEY ARE C EARHND TR D TO THE SEWER HAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICEREQUIRED **********
********* : 456-3604 **********
******************************** THANK YOO ******************************* *
� ^
}