1991, 09-17 Permit: 91005926 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,oras a warranty of conformance with the provisions of any state or local
laws regulating constru ion.
SIGNATURE OFAPPLICATION 9
OWNER OR AGENT DATE / /7�
,.:},-?.?,.3 i"?..: 3 NUMBER= 91f 3•?' i±::,..?:f PERMIT DATE= 09/17/91 !''f''fl:r!' '. l.,j:
S,.s,..}t...............}. ...,..,..,..t!••It•tl•},..,1, !, ?. fE ! ! }., Y e.•r..,.:,�:, ' :i!~} *** ***** **** *** ****K* **..
.,,.. s.?.?.:.r.y:s.t.?......... ::: :�.?:....?., .•.:, , s...a•:t: i :!.w?..t..�?..:`''€ '. �.±.... .
+ t ti%8 1? 3 •`j it ? t-.? f:.��)::. . ?�{ _•:+...?::..... is»:: 28542-4411
_. :...A fi.?.`•..`±"`•. L. ,.. SPOKANE t A . «'+�:%i7
PERMIT ;;'+.,.:.=: SEWER CONNECTION .... NORTH i" i{.t,tKOMO
t,;t r.?T.t!....- 002393 PLAT A NAME= t.1: ;r 4?"I ::'ix i�Y t.!'E�" •• I 1 ?
AREA=BLOCK= 4
00000000 I•• :r:,= I.. ±s.?.!; ! 1 j_:: •?j. :, s I..i , i;:`i:i:: ,ti
4 ,},.. t;f+ ti;•::�:;.... 4 DWELLINGS= •
uir::'t"-!s (i' ''? ....
PETER .
1
STREET= l:.
20TH
.•I I"I AAt' i._
ADDREEE= EPOKANE WA 99206
CONTACT NAME= MOUNTAIN WEST MECHANICAL "•:'i••ifi'r=1 :. N'..'•i'.Bl...:{.... 509 92a 2471
BUILDING Ss::.•?-BAC?',... - FRONT= NA ,tri — NH RIGHT= NA REAR= NA
.
i? t ;: : y (: s ;: s s ;n: j ¢: ( j*sk P *r • SEWER ': ," . S i ?i $ PPn*Pfl :*ai a ; a ! ? 4aiP" 8 :p
? ? V r ? {: MOUNTAIN : ? , . MECHANICAL :± i? - ,• ; 928 :
y ( ?
STREET=
9116 ?,•'• :..: i' thit•Ul�. AVE::.
ADDRESS= SPOKANE i;A is 2 0 6F
ITEM DESCRIPTION QUANTITY FEE AMOUNT
C:=E:::OC;::'! ; ;'•:?,7 FEE 10.00
SEWER CONNECTION 40. 00
.. ........................:.•,-'::'.a'.':** •.:::'.' :('j.:,f.:q::p,::: .:;.a(:y:.it:a!:•it:**Y3' t;:t:*•}f..}j.ti':P::a::t:'it:'ij: f:
)F..P:•?,..•?i•Ft:.A.?,..?_..?k.k 9k•Y::!:If:•:t:•?k N.:t iL Ji.?t?:N.?t!!.:ni ai 1>...?t:9t:a• i-`;.:?'i?"± :.?�? ? ,:;?.t±ri;r?b�{1•{•7 ?.i.:.:...A�1`:?.:.?.
PAYMENT FDA ± ?::. ?'i?::.?.:E I 1 ? •[i PAYMENT 1.MOUN t
09/17/91 d5 9 50.00
TOTAL DUE=:::: '•:?'•:i TOTAL PAID= 50. 00
PERMIT ± Y?•'i::. FEE AMOUNT AMOUNT? y A.!. , AMOUNT OW i.IY G
SEWER PEt`•.MI»! 50.00 50.00 ;t:,',i i;7
50.00 50.00 .00
PROCESSED B; : ,.!?.:±....S.?::. ',t"t i•:{ ? ? ?.i
PRINTED -B,• JULIE
,_, Ir.. ,•. .,
SEWER. STUB r-a;:-....B11I?... ? INFORMATION TS A}> i•`•1i..... •i%fl...?::. AT THE _.t..??.?.'? i '
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR .... APPLICANT _:.: TO FIELD ±...... .. .. AND CONFIRM THE
..
I.., I.. ,t�,f.:, { ?;;1�; f.:{?•.?f� POSITION ?1 i•• SEWER STUB i-tY:,;.t,'rte.; TO !-;N•'' OTHER
EXCAVATION
TO LOCATE
? ? ^T° B R , ED CABLES, : ` ; PIPING,
. I T Nr, W , : FLINES, ECT ..
CALL BEFORE YOU DIG (456-8000)
* xrRSTUBS
,T : :
A j t;?•• TO ;51-. CHECKED PRIOR
_ r
I; ! TO
~ » . ?` _ , . J INSURE
THAT ; , . . " , • UNOBSTRUCTED » tv -' 3
. .. . . . . . . : Et , ! [ r 1N\! -± » , : : :R {( ,
...i COVER .,j':a:�P:Ti'Pi'lR•ittr'!t'9t:
)!•.?t:)t-)Y'1:4::ft')t•;!: :':{. HOUR NOTICE REQUIRED.. '?t:;!: j.:k4.'4.:6..44-?t.:y,•.K
F? : .t,..i,..? . t. ? .rr : ? : ) a , ? sse s ? . s ? ? : G THANK :? _ } i : : ;: : i: : . . : ; : ;: (. }: y*: j : tr r, . .