1991, 10-01 Permit: 91002792 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 moeo nh processing. In addition, I have reaand 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= 91002792 I%%UED PERMIT DATE= 10/01 /91 PAGE= Oi
**************************** PERMIT INFORMATION ************* *************
%ITE STREET= 10805 E 19TH AVE PARCEL4= 28542-4312
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KGKOMO
*** SEE NOTE * *
PLATO= 002393 PLAT NAME= %KYVIEW ACRES i %T ADD
BLOCK= LOT= 10 ZONE= AG%UB DI%T4=
AREA= 00014000 F/A= F WIDTH= DEPTH= R/W=
:11, OF BLDG%= i i WATER DIET =
OWNER= ERICK%ON PHONE=
%TREET= 108O5 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*************************** 2,!EWER PERMIT ******************* **********
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
---------- ------------- -------- ----------
PROCE%%ING FEE Y 10 .00
SEWER CONNECTION i 40.00
************************ ** ** PAyMENT %UMmARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/01 /91 7i2i 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= .O0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ----------SEWER PERMIT PERMIT 50 . 00 50.00 .00
------------- ------------
50 . 00 50, 00 5O. 00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER_ STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CUNIKPiLiUR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF EEWFR %T|!B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATELINES, ECT .
CALL BEFORE YOU DIG ( 456-8000)
%E�ER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE ::.:.:EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
** **** * 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*** ************************** THANK YOU *********************************