1991, 09-17 Permit: 91005961 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 13(:.3 PROADWAY 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 pr visions 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 ✓�C� /
OWNER OR AGENT �t ,2,�� l�. DATE
PI"':?..i:.%i::.t.: t NUMBER=#B#::.l,,.... , ! t:}t,;J::i';r._: ISSUED D `l::.r';!"i.?. DATE= 09/17/91 PAGE=
?t.*p,.p!..,,.****'1:•;!!;•!(.jj.jk.*j}.jy.* j.:,j.:t.::;.:j.:g.:,j..:j..t: '•;;, -
J ..X}2 fi.J.....:.}. �•'#::.t':#•t.t. ! .t.t x t t.?Y:f,f•`s { ,i.1..{N ********K*******************
SITE STREET=
AVE PARCEL4= 21543-0605
ADDRESS- SPOKANE WA I 99206 4 •I,.,6
PERMIT USE= SEWER CONNECTION
PLAT4= 001827 PLAT
NAME=
#.... t.
AREA= ,=' I:,:::: i..i�i D I H= DEPTH= R _.
,
4 OF .`;'�i...iJiv,.:.... •? •„' ?.i:%?#::.#........�.?'"�'...... - .... WATER DIST ....
OWNER= i ? '. I J: r CARL :" _i 509» 0 3 j•),^ 4
IVW01 Whet
ADDRESS= SPOKANE WA 99206
CONTACT NAME=: CARL# HOPKINS PHONE
P:1E,.
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
y .r *. : } **: i *} 7 } *, : * j* : j: SEWER :
. aP . 4 9a $ FP: . .7i G? Y* { = } . t} .{sj
i:iia?`'.`?::R ?-H tNE••
... r:: : ,,:.. t !.;:.is::..,.i_., FEE AMOUNT
i QUANTITY
PROCESSING FEE 10„00
SEWER CONNECTION
S'} '}
** ***K************************ ,.., .. ...
E '�' , {??-;-J'�' �.`?,a:,: •. ... .
::!.J,'t#"?.••t�i"t .'t:ur i�C••Ft•Ai•N:'Pr Ti itC•Pi•}ti•}t Jt'is:?ti iu:.;:."t:..:.,r:,:de.y..
.? .... DATE ?'(?::.t.:s......?.: ? 4 PAYMENT AMOUNT
j.:} 1 7/9 1 ..,.: ? ? 50,00
PERMIT { '? FEEAMOUW- AMOUNT
"iIa_ E ` : i AMOUNT 3„•?Es;i,rti�q
SEWER PERMIT 50,00 50, 00 :,00
PROCESSED BY : jOHN LARSON
PRINTED BY : jOHN LARSON
SEWER ::? i i.:B AS—BUII.,T INFORMATION ,?,," AVAILABLE 'a»3 THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR,_tt•'.- O APPLICANT I I,:o TO FIELD D L..#..ii..t•e..`.E AND CONFIRM M #•t•EE
ELEVATION EXCAVATION 2.1 POSITION OF SEWER STUB PRIOR TOJ��t ;t•i OTHER
I't.
. `», I...?..'t.:. iE BUE'` i”) C:A E i..rA:::..tt_ i,E: aNG, WATERWATERLINES,:NEs , .._ECT,.
DIG CALL BEFORE YOU iJ ! t.., t.°i•!.:. ... _s000•1
SEWER. STUBS ARE TO BE CHECKED i,} P IL,ir, itj CC:i4 i...;.., t..• tJ TO INSURE
THAT # I'#t`::.i ARE CLEAR
, E :R AND
UNOBSTRUCTED
: `r . R? it #
yTO HESEWER MAIN
**** (*} : * CALL FOR INSPECTION PRIOR TO COVER *****HJt *
*1Y) v4i *N : 4 HOUR NOTICE REQUIRED
4!:jt;•},'•;ti-)i._t...jj.*.;:.y;-
n:'}t;•}i}i a••p,•a:-i{•p 456-3604 :tt:3 tC- 131131314,31
4b*4V 96 is iG 9i:9!:f..* ...},i rt!?•:}t•iN••};•iR')i'.k)t:!?.i!(.9j.9(. :.4(-!j-N..tj..t�..!t THANK ..:.:,(.:j.a{.•t.:,..:;{.:¢.:;.:!:.�.:,.:::}.:!{.:..:j.:;.:.�:,::F.:,;.:.:.:.:.:.:.a'.::.:,{.:'.:c::::.
Y t.#,_,f :...1...i.......J....... P.1...1.1.3.:.:.}..........t J•.:.1L!-./!1t 7