1991, 09-18 Permit App: 91005944 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
't'#t..j_iEi.: € NUMBER=R= 91 i 44 APPLICATION DATE= 09/18/91 `AGE 01
Tin P P it P € €I.I.,'• IS N O I f•, I-'€».RM i 1• I it)r ii.h it
PENALTIES WILL BE ASSESSED €..O E_, COMMENCING Wt„R€t WITHOUT •t PERMIT
SITE€::. ::• € €'ti€::.0 € = 1320/. E '€ 1 € H AVE PARCEL4= 22544-1216
ADDRESS= SPOKP.NE WA 99216
r r•.r,
PERMITUSE= S EWE!" CONNECTION •-• tot... €"t_:€'!.€::.,> t
* :n SEE E NOTE: •' 3}.
PLATO= tlti - : ,I ; r NAME= Mf " : r PARK ' r„ z
AREA= 0000E 000 E,./A= r .t 0 WATER€fi!.1% II..I:«. DEPTH=DEPTH= . .:/W= '.::0
•t?' t.)€” .S`...Y? \:::: 0 DWELLINGS= D.€. T = VERA
OWNER= RUB]:t EON, MARTHA E:: PHONE= 50'. t2... 0170
STREET= 13204,..1::. 1 1 T d AVE
ADDRESS= z•'I"'OK. Ni::. WA 99216
CONTACT NtMl _ LE 4( R+ PHONE N„ ~Br ! , 509 926 8964
BUILDING • i •C, . : F F I N T- NA LEFT= NA RIGHT= N A REAR= NA
********************4(******** SEWER E » ! . € 0R 0 P * * *H **R*At i ? 4: 10 iiu t * iNA *P
CONTRACTOR=O€•;.... H & S CONS I E UC i .ION I.:HONE " 509 8964STREET= ? '€ tS 1 i E. At._L..E 7 WA r AVE
ADDRESS=Sly:::: 5P€:3K('•NE WA 99206
ITEM DESCRIPTION - QUANTITY FEE AMOUNT
PROCESSING
FEE 1 1 i:1:01',•l
SEWER C•ONNE C €-ION I 40.00
PERMIT TYPE FEE AMOUNTAMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 s GO 00 50.00
50.00 .00 50.00
PROCESSED't `-'y" : JULIE . ,,.• �•O
PRINTED tED ,!4Y JULIE ::`.€..€(: ( il,'
SEWER STUB UB AS....BU!.€... € INFORMATION IS AVAILABLE AT € HE COUNTY
x
UTILITIES i. (456-3604)
CONTRACTOR OR APPLICANT is TO FIELD LOCATE AND CONFIRM € HE:.
ELEVATION viiPOSITION t... SEWER tr T
EXCAVATION
TO LOCATE i + ? 1Ei CABLES, G Ati PIPING , dr ER LINES, ECT .
CALL.. BEFORE YOU DIG (45,;....800)
SEWER
EWER STUB.. ARE
TO
BCHECKED
HECKED PRIOR
REOt wCONNECTION
ONNECCION TO I
NSURE
THAT THEY r`f _ CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
P0t * *, ii * CALL FOR INSPECTION PRIOR TO COVER
'..
i*i*I*:*•x• •,i k*,+:
•tr***i**ii:i••i* 24 HOUR Nf€i;.r1::. REQUIRED I:'.D a*3i»'u i€'*)**i*i>'
n:)*}*7s:•'r*'k-•s*•1'::i• 45 r.....f !":?t i 4 'i Ni:*'i*;R•'i*Pi 7ti*i*
: t * * :a : n 7 i * i * *i *} j 1 ! !!iit *i 9 * *? r * THANK y : jiyjit: , xr*itr } l* t nRa
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