1991, 10-01 Permit App: 91006372 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
r-i;t,t.t2::.t.: ! i-!i.;;',B!::.!';= 9'1006372 APPLICATION DATE=t-.:::: •! ?:j/?:j-! . . . PAGE— 01
;,..1?.n:r.a,::+c THIS .2.. N O ! A PERMIT y+:i+:=H:i+:i+: i
PENALTIES V:±.!.!._2... R!::. r.:Ja:-2::.,:>,::l::.;•1 FOR COMMENCING WORK WITHOUT t± PERMIT
SIT
STRI;Ei = i3111 111H AVE PARCELO= 22544-1108
. (:ti' :'liI :.. -• SPOKANE ANE WA 99216
PERMIT i.!:::F..... SEWER CONNECTION -"- Wt±t ,..t.:2'S!::.::r ;
{":' .-':-J+.::: 001670
r 1 :- PLAT
F { . T NAME= MOORE ' S PARK
fRt Ii R : Y 4 ! " '
BLOCK= 1 LOT= o .+.:.1114!::. f.:,U!'..!. 1) I S {»'•+y:::::
AREA= 00000000 ..,
•,r OF BLDG,,,:::: 1 DISIELi_I!'-,ti;,,:::::: •i ,:, WATER DIST .... VERA
OWNER= USHER PHONE=
STREET= 13iii E 11TH AVE
ADDRESS=,':`C= c `l:;lt;f"!!'NE III 99216
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 2500
BUILDING 2sAC S : FRONT= NAIEF : N^ RIGHT= NA REAR= - A
'Y:;::'}}:'}+::'+::+:3+:3b-R:ik 31..1,7.F:.J+r.1,J.1?...t.:i:'P:1+:1':'11''P:i+::':'P:'P:'R:'P: SEWER {.:!::.t•:;{"{i• , 1:•)+:•P:•Pi:i+:'Ni.;+,,;,,,;,,,;,,,1,..1,,.1,..1,..1:.1...11.9k 1(.:1,..„..p.'P::+:P:a•Jt•r:•A:
CONTRACTOR= ALWAYS' ACTIVE PHONE= 509 922 8500
STREET= PO BQX 141562
Ai,i;i I:::,..:.. '• SPOKANE WA 99214
ITEM DESCRTPTION QUANTITY FEE AMOUNT
PROCESSING i FEE
!::.
10,00'(
SEWER
E{' CONNECTION 1 40.00
PERMIT , r ; I::•I _ ^i"[ 1r ! AMOUNT
PAID E ' 11P OWING
•
SEWER PERMIT 50.00 .00 50.00
50.00 .00 j t j:.Raj';j
PROCESSED BY : jULIE SHATTO
PRINTED EDj ;a i : ;.I.jl...IE:. i•t-!t-i { ; i..i
:::EW!:.J.y l Utt AS—BUILT. INFORMATION j.::. AVAILABLE ATTHE COUNTY
v.
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOROR APPLICANT! 3.:.i TO FIELD LOCATE E: AN71 CONFIRM Ii:2'! ! HE
ELEVATION AND POSITION OF SEWER STUB;_,tt ''2'°:r (,!!•t` TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
!..'t±l...,... BEFORE YOU i tJ:.G (456-8000)
SEWER STUBS { E TO BE CHECKED PRIOR T O CONNECTION I.O INSURE
THAT! ! ill X !'±t',!:.. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
.. .................
';�••1','1"'r-,'u•'}?••1'J'1'�'�' CALL FOR INSPECTION PRIOR _J COVER t. •r•:•n:•n•31•�+:31••Jr 3t•n:3+:
......37.....1.......
Y. ., HOUR,�I!!'t; `'%{..� ! .I.�..-C:. REQUIRED 4i-yi-)!-??-i++:9Y F:1:'i+'i+`i
:.::.:::.:.....:t.:.:.i;. .... -456....3604 .j+:*..;{..j4*:'+: +:3..P:
1111 .1.........Y. . . J.. . 113 : . .......}..1 i) i i P ?! jTHANK yOu ***** *****K*********************