1991, 09-18 Permit App: 91005812 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 t 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 oft is permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions f 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=
1"} ? "- , : : :,• 8 ! »
,... 3 ;A1
l v DATE= 09/12/9i PAGE= 01
4.***** THIS v.. r i , ;.:i PERMIT 9h tt-it-'!t 7t•4•-
.t.,. NOT
PENALTIES WILL. BE ASSESSED ?..;t. . COMMENCING W ::IF WITHOUT :} PERMIT
SITE STRLIJ= .;•, , 't t t• AYE L.. t R i,`.?.:i .a..... 22544-1217
PERMIT USE= : ,.:.W?::.F CONNECTION .... Wt,i,.... :: F::*
.,.** SEE NOTE 1;;. );-! ..
PLAT0= 0016-' 0 PLAT NAME= MOORE ' S PARK ;iii_ . 1 4 VEF A
BLOCK= i54 4
AREA= 0000000 i /r'!--: r.. WIDTH=' T i ?i • rc 'ui:::: 50
0 OF BLDGS= 0 DWELLINGS= JO WATER DIET = VERA
Oi,jNER:::: WOOD1URY PHONE=
STREET= '? ,t. :t,. ?::. I 1 i I'; AVE
ADDRESS= '`P:`. if- -J!:: WA 99216
CONTACT NAME= L. ...1_tW!:S! PH:, {?: NUMBER= 09 92A....... 8964
BUILDING "i` :I`,I;":::: NA LEFT= NA RIGHT= NA REAR= NA
SEWER********************43******** t--i.,. t.:.•_•.`i^ : u!_.;:**st:.a!r *n:!: :;?•.ri. !:•;?•;,:.?..n:!t::n:n:r:n!?*N:!r x
:i ? ? i i
: '^ ` 8964
CONTRACTOR= H : FN' fti ? � '
}'y?::,t^ i 't `t : i" 'a' I I i'•Y WA`T AVE
ADDRESS=S= i•,I"t.)?!•.ft I'*l.I::. i,JiA 99206
ITEM Et", t!'="•-t.:R1 i.: ? .?.t_}N QUANTITY i..E_.. AMOUNT
PROCESSING FEE 10.00
SEWER CONNECTION 't 40,00
PERMIT TYPE FEE AMOUNT AMOUNT Y I D AMOUNT OWING
-----
SEWER ER ?•?o:r:.MII 50,00 s 00 50:.00
PROCESSED BY : jULIE ':,HATTO
PRINTED ,.r•r - JULIE ; I Ali j i!
,.:...... ...!: :. t'` {:. S!t.:.!.?... ' I N I..t.l R l r}C-'t I ».t.i Itj IS AVAILABLE {•! t THE... ...}..t U}`•1 t Y
i.r .Lt , ? } }..,i. I::!.:fil+. ! ,T j .,,1:,-r..—36o4)
CONTRACTOR
OQ- ;AtvCR OR : ri It _ 4; t . _ n I...tCA E AND CONFIRM
Nr i RH HE
ELEVATION ,, . POSITION
, ;:,EWER
STUB PRIOR O i [: - ti
EXCAVATION
TO LOCATE_ EURIED CABLES, GAS PIPING, WATER LINES, 'i ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUB ARE
. ...TO ii CHECKED PRIOR
tt : ,
TO iO aa-Ci •I TO INSURE
CjTHEY t ? CF4 AND UNOBSTRUCTED TO -H- SEWER ' ` i ,
fN1PtPp) 3CALL FOR INSPECTION ` ; ftf
TO COVER K*********
)H `1t:fit:)••!L li•H•* 24 HOUR NOTICE REl'`.I 1•?` l! th:ti.*.)k!4••!t 1L'iF lt:. !.
3f;t•g!;T••A•9t:.1,. :,t, 45 6....3604 :!!: ::p.:*******
****KK************ * * ********* THANK '!•f 1{i ****************************** *:k