1991, 10-31 Permit App: 91007413 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
PROjECT NUMBER= 91007413 DATE= 10/31 /91 PAGE= 01
5.r,.:5}.!.*.w THIS . NOT ,: !.:Me .**.N.ji.:i.
PENALTIEE WILL B1•' F!.=.::t•• '+S #) FOR COMMENCING WORK WITHOUT .-:{ PERMIT
ADDRESS=
.:,.. = v.: WA
... 9
PERMIT t.. s i::..... SEWER CONNECTION ;;O?.... ..........'. ?
i"!...'.:i i .!'.' 001570 PLAT NAME— MOOREIE ZONE=r'!?''•:#t, .t##. .. i !'C 4t`i::,i''::••+
BLOCK= LOT= 1100
..v -..:-.4v
#;' to # , .... 0 )_t,a#:;; ? . t.t, .... •."i;'r WATER DIET .... VERA
OWNER= EMI ! !
:•t:oI:: ...:.; •' ._•'Pi)i',:`•::t:`1E: ;xi;•. 9 9 r.)i ...
CONTACT r• 1-, NAME= r.c:tN SLOAN PHONE NUMBER= 509 922 8500
BUILDING
. : r :# ; f - ; ` - FRONT= J _ .P"! _ NA RIGHT= NA REAR=
_
::,j.:j.:::lj..ii..::.:;j..�j.:j.:,j.:j.:,j.::j.:,i.:,i.:!i.:f.:j..i:.ij..j 4.::f..jl.:;:.:::,l. *K****:**********************:**
,+.1+.,. !.P. .. ..:,....t.:.}.,.,...:-...).!.,i:. ..:.t...1.:t.. :::1::.lt:t#::.i'. #.:i::.�t,#"# `, t
CONTRACTOR= ALWAYS
ACTIVE
,. ._ ..
ETREET= PO BOX 141552
t•:;tt It1'i 1` .... SPOKANE WA 99214
ITEM ::r:.::;t.: ;.#. : ; ]:C't NJ QUANTITY FEE AMOUNT
PROCESSING jr••2.:.{::. ,' 10.00
SEWER CONNECTION a_.iN '# 40 ;,00
PERMIT TYPE l::' AMOUNT A'i: 1. '4i' PAID AMOUNT I.11.;:i.i` G
SEWER I::?::F.1`':,'#„"i 50,00 ..t:)i.. 50,00
50.00 „00 50.00
0
t•'itt,##..:#.:.::r, !.:.).r BY : DOM ? ?'.,t2L' ,'I
1.t.:!!; ROBIN
PRINTED BY : BUMDOMITROVICH, ROBIN
.'-.t••#;.##••R E t ##•' AS—BUILT INFORMATION
DEPARTMENT
# N{ R"f #
_ , AVAILABLE AT THE COUNTY
UTILITIES! ! , !
(456-3604)
CONTRACTOR t-}#•:; APPLICANT i. TO! .#.#..? i; LOCATE AND CONFIRM THE
ELEVATION AND !•.I I`'I OF SEWER STUB PRIOR ? i A j•,I•'y OTHER
EXCAVATION
TO LOCATE BURIED i(.:A-Ycii . . GAS PIPING, WATER E?'t I... .NE,. , ECT ,
CALL ...E i'-t?R E YOU t... A:!`.}:i ( 456-8000)
SEWER R f `;` ARE O BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR
UNOBSTRUCTED
THE SEWER MAIN
Tii : ri: } : CALL FOR . t. ' :# { 1 NPRIOR { ) COVER n*# y ) tj ) i*
: c4) . t :g :t !xHOUR ` -a - REQUIRED {. . YiH91 }
PtFt " k; ;i455-3604
9e::!i ie.'3¢•i?:.n.*.)(..jj.
F: : : ri : t tTmo : : Yt ttt t :»t1 y. jj : jTHANK )t : jj }i : 3: : : d :.,}..: : :.,i.. i: n : : ti: : : : :.;:..:.,.:.n.i..n = :,. j