1991, 12-02 Permit: 91008291 Sewer SPOKANE COUNTY DEPARTMENTOF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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and correctand authorize Sokane County to proceed with processing. In addition, I have read and understandm 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= 91008291 ISSUED PERMIT DATE= 12/02/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13816 E 9TH AVE PARCEL4= 22544-0321
�DDRE%%= %POKANE WA 992l6
PERMIT USE= SEWER CONNECTION - WOLFCRE%T 91 -%iO4)
*** SEE NOTE ***
l ~ -
PLATO= 000212 PLAT NAME= BLAKE & HAN%ON %UB
BLOCK= LOT= 2 ZONE= A1.31 �I%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
= ASP T W Ai ../TIPkE PHONE=
%TRE�T= i381 6 E 9TH Al
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= JOHN BLAIR PHONE NUMBER=
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------_------------ -------- --_-------
PROCE%%ING. FEE 10 .00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ************************** *
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/02/91 9119 50.00
------------ =�
TOTAL DUE= .00 TOTAL PAID= 5O.00
- �
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 50. 00 50 .00 .80
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM 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 ( 456-8oOO)
SEWER %TUB% ARE B CHECKED PRIOR TG 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 *********************************
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