1991, 12-19 Permit: 91008561 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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 i,T Vii,!!•;%B 91008561ISSUED PERMIT
DATE= 12/19/9i f#to!:'= 0
? ? fi7 ; ? di ? ;9 Ss".•r. b k 9 9iY ti; t ) 3t
RE:
- . ! INFORMATION 3'3:**'t**! i+..? jjj **1 r x. : . T. $i f7i
,.,1:..,,E ,.,T1:1„
„E E_,. : 331 '2 t::' i i T1.1 A V E P A;`:,:,•±::,L, '-'. 22544-1406
ADDRESS= SPOKANE WA 99216
PERMIT i:,... t.r CONNECTION Ixl t,I i C±' E S 4 (91 —E134
,1,,.?F..R• ::E E NOTE },,it.ttt•
PLATO= 000973 NAME= GEORGE ' S SUB
,
BLOCK= '; LOT= t
:ZONE= Ax : I 11 :... j _
AREA= ; i' .0» 0 F %F : WIDTH= l1j ?! ! - i : 143 •5
- C
: F , : . GSDWELLINGS=
WATER ..,. VERA
OWNER= COLLETTE, RON PHONE= 509 927 9371 I
IE :,::.;::•• is i i to P-Ofl::.
ADDRESS= ,..• OKANE WA 99216
CONTACT NAME=
t •_ : ^0E _ ±< ' 7, EXCAVATION
` _
, , : ISN
PHONE NUMBER=
_' : 4 5485
BUILDING SE , . f : . . ' SVT . N/A LEFT= N/A RIGHT= 'A REAR= N
................:::r,::::::::,::::•-:,::,:.:.:,:,:'.:!¢:j.:h:::'.:i•;u;-1+i•P: Si'• wE•t t•�E±'t`M.I. ± !....k,.S.......,.....t.d.R}.-.3...t+.1.....?...,.,t t-.-.....
.. :-, :i.:,j..j'.3:.:j.:}f.:,j.:tj.:,j-:,y.:,i.:is i::::+::n::+:ij.::::.:j.:!(.:j.:!,::q:.i::f.:�..;}..}.
9+::4••1t•?+•9+:;t:•St}+.?!.1+.t+.:t.?+. :+.?+.P. ,i.�.)•...H...?....+.!. ,..C:.L....#�.
CONTRACTOR= i.':c I!.,: , , N.E CONSTRUCTION .:'HONE::, ... .. . .... . ... .......
t•
,
TREET= 16402 F
'ADDRESS= `ti`E RA1,)Ai.,,I_. WA 99037
ITEM
DESCRIPTION
PROCESSING 10.00
SEWER CONNECTION� • ,# 4:?. :r}'.?
; 9P } PlPk? k RPi Y*R t : s ? Paj** t * i. PAYMENT H frAE } j. : { !? aNi t ! ! ; S : jijntjt i :It ? : *
PAYMENT DATE
f'. E i:c`.i::i..:i::.S,1` [ :: PAYMENT A ..,. . .
12/19/91 9569 50 ,00
TOTAL ? ^ . .00 i ^# PAID= , . . ,
PERMIT
" y , ; 4_ _ ! ELAMOUNT
M» UN- x =O„ V_ PAID AMOUNT- OWING
SEWER PERMIT t..... _tt..0�:- 50..,.,•^0 ................................ ..»_....t«•_._
. 1
50, 00 50400 „00
PROCESSED Ci,Y , 1.1!.-;'"f:i. ! ;'t`!„i V I i..•I"# , ROBIN
PRINTED Bt DOMITROVICW, ROBIN
SEWER STUB AS—BUILT INFORMATION I . AVAILABLE A" THE COUNTY
UT I L. "T r,:-•, {•i-.,-.'••iln,T!"!t'!3 T . =0... ... ,'?..,'.}4.
t
CONTRACTOR OR APPLICANT
tr `
l
.
j " FIELD
� . I i
' ELEVATION ; \ i POSITION OF ,# i STUB ANY OTHER
PRIOR TO
EXCAVATION
,Y,,i CALL: s_7 LOCATE BURIED CABLES , i,y is,• vPIPING, WATER
,.{.
:€; BEFORE YOU DIG ,..? t' S
SEWER STUBS '•t::' :C: i"•:,lEi.., 11 !_`t`' t")it' TO i t!i`JN1:'` i ili '1 ti; ,±-±•`Slt..1 it E'.
..'-{tAT THEY•t f.:t I'4 i". CLEAR`'AND: UNOBSTRUCTED
..#; t.{B;*. ':t:1":iE D •I t... THE SEWER MAIN
;..,
i *pvn1 : i1CALL "4 R INSPECTION COVER iHI : l9iiJ _ ' . ^t ; NOTICE REQUIRED
,
a. .:'•lk•!ti:t?.:`t•Yr j;.*:St. 456-3604 it+i ?•::Pi..•?r3t'it+:'34+h
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