1991, 11-20 Permit App: 91008028 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 U ;l 91008028 a. .
. DATE= } i 2;, % ! PAGE= tt
'fk**lk 9t•7h THIS .t.,`s N O•I A PERMIT *j,•*;n•Vie,.ji•
PENALTIESWILL BE ASSESEED i'• _T:ti COMMENCING WORK i,.? _, ?••?i.i..i ? A PERMIT
, : -
:::.t. ? .::. STREET= ? :.'?,:_}..:. t ?::. 'I ::? t F•i it}::. +.:F.i'i i..:?::....'i,:�:: 22544-2120
ADDRESS= ,. POK t'"''tNE, WA 99206
PERMIT USE= SEWER CONNECTION .... aC:E...F c:RE 'T 4914 (91 -575)
n „
Pt...A t .,,._.. 002753 5.:i :`L..fa i NAME= VERA
B,...=..?!.:K..: 176 LOT= <:.ONt::.= t iR.._,.fa:. ..} D.t.S}:;;.....
AREA= 0000 0000 F/(1= I::' { WIDTH=} DEPTH= j•,.°;'W= .i0
ATER DIST =
OWNER= i ,-t Fai.:}'•.E:E't. , ,-: Ixt PHONE=
STREET= 13321 E 33RD AVE
ADDRESS=.. , POKANE::. WA 99206
CONTACT
O1 " a- T NAME=
fME. iv CONSTRUCTION
O' „ 4j? T _ • PHONE NUMBER=
tM :P : 5099 926 ; " i
BUILDING SETBACKS : FRONT= N/A LEFT= ` '" RIC - `- N/A REAR= N/A
•ii•llIt•**'1'i*'Nr'N:'lk Pr?L'**'Pi.R.:l,i.)'..P:*?C•tk:»:9k lt••li•'1{•*'Pr SEWER PERMIT :n:.t,:.P:.P:ip.lt.:7..A.*)k•P:3t•P:•tt'a 97:•F:'tC'fk•tt••tt•'P:'Jt'9l P:'P:'P:a:'tt'*
CONTRACTOR=
CN iA: O-: " CONSTRUCTION P - -. 509
926 8964
STREET=_ ? 11i1r t::. 't+'FiI...I...I Y'WF'i`Y' AVE
f.':i i)R E ;t:= SPOKANE WA 99206
ITEM DESCRIPTION QUAN? .E. ? FEE AMOUNT
PROCESSING I::'E.:.E:. Y 10 ,00
SEWER CC 1i'iNE>. 'iION 1 40.00
PERMIT r:+:'IT 'T'Yi'E FEE AMOUNT AMOUNT PAID AMOUNT OWING
t.t.is
SEWER PERMIT
50 ,00
50
PROCESSED h5 Y : DOM.E. T is ii•w:[C F•t, ROBIN
ROBIN
PPt:.,.N ! I... BY . DO!"t1. EE'•:Oti;.E.! •t. RBa.to
SEWER STUB AS....BU.t.?... t INFORMATION ..5 AVAILABLE AT THE COUNTY
UTILITIES DEE..AR' tt"tEN ? (456-3604)
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE Fa?',? CONFIRM THE
ELEVATION AND POSITION OF �:.c" STUB PRIOR TO ANY OTHER
E�.i�t-.t`
EXCAVATION
T. LOCATE BURIED CABLES,
tPIPING ,
. ' ( 1 N" ; :F _ ? FLINES, ECT,
CALL BEFORE Y ) ± DIG (456-8000)
SEWER STUBS F'it'•,E:. TO E CHECKED PRT:c:iPt: TO CONNECTION TO INSUR:::.
T ,!r., , THEY ARE CLEAR AND UNOBSTRUCTED TE::.D ? O } !.. ::. SEWER MAIN
..1 n a tt t t CALL FOR fe .t.i'•1S?'',::.!: ? ;.+..?N PRIOR TO COVER •n:*'li•a:*3E u••i:•i:•tt•
Frtr : x r nr . r HOUR fit ! :: REQUIRED ntn*trj * r*
s..*.j,..j,..R.K.1,:.lk 4,: 456-3404 'tt•* a•:•:*•)t..t..j..).
r*t ! : r r rr n*; 1 ,**. 1 *nt1 , xr l *r ,rhiTHANK y o i *prifr :i .1iY x) P i ) . i . i) ;i4. } r r N Hj