1991, 09-17 Permit: 91005927 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 constructi n. Q
SIGNATURE OF APPLICATION 7�� 7-9
OWNER OR AGENT DATE
`'`Y=:Ii ;i"! : NUMBER= 9-1005927 ; Si?E" j PERMIT DATE=E-. 0`. . . . 7) PAGE= 01
:f. ?:1?:} N ) h 7it : : N3 : : ! :! .: : .:.: h !: " ". i INFORMATION 3 µ*:y ;*s * { ; (11 *Pt : : ii: :**s4 '1:
SITE STREET= 11221 E 21ET AVE PARCELO= 28542-2613._:5•t , ',13
ADDRESS= SPOKANE WA 99206
PERMIT 1„JSE= _SEWER CONNECTION -" NORTH <.i,,!14,i i"l i,1
PLATO= 001393 PLAT A NAME= K KE„ki'ic:i TC:f.u,N`
BLOCK= :t ,..1 t..,i,I I .... t't„t r;f{:..•» i.j t'••. ^�i ..y I?.}.r`� }:�;:::::
AREA= {:?+.:/�:001:?t:j':' i i' F•• WIDTH= DEPTH= R/W= 70
'}t' OF BLDG::;.... 1 0 DWELLINGS= AWA ! i::.R DIST ....
OWNER=NER:a c:c: ...!...z.ER : CLIFF _?N_.. _. .. . F`•! F•.. ...
PHONE=..» ...}{, ,y) :-i ,
•p• �n5
.,]=•jijRI :::: ...i..i; 'tNF WA
.. 9920A
CONTACT NrM. ' MOUNTAIN WEST MECHANICAL PHONE
rr ` ! iMBr " ti 928 'i47 .BUILDING SETBACKS : FRONT= NA LEVi = NA RIGHT=LL., r..t . ....A.
.. .. .. ..... ..• •.. ••.... •... t t 'P'3+i i+i•Pr'P:''R' +:')+r'Pr'Pi'Pi 4•i P•T:'%t•i+r 3+i rr P.''Pi td+i tR'7ti'Rt 97i N•a•'Pi'R•'Pi
.):..jei:k 3+i i++i:n..l�.1!..Pi'P:•!k/k?+: t;•p;••jF:;+;:?ei•jt:1!••!k•R•in:77:•Jt:•P:�A:4t::R ,.}I:.,r..1::.i'•. i'!::.i 4:9... t
CONTRACTOR= MOUNTAIN U _' ! MECHANICAL PHONE= 50i 928 2471
STREET= 9116 E SPRAGUE AVE
ADDRFSS= SPOKANE WA 99206
ITEM E! l?E,?;i..: `. .f` 9ION 1:::1.)A »! t. ; ; FEE AMOUNT
PROCESSING "F E •! '! !.'f C'j+,•)
,.i t'•ixi�'.,.; I.i`t`"r !::.t.: i .i.t.I i'v i
7 i"t�. .� t :. •ri f:,:;,i i'=. � 1.i4....}•. ).)+:!....... ......P...N.). F... !. !t:,.>i.)..
• .t } K l... �•. Jk 9!•f•.:-. .,.. } t.!t!.}.d.:. ... t 1 1 �� .._..t'. ,,,,....} t . .t.
09/17/91 6590 ']F0.00
TOTAL j.?t.;I::.... .00 TOTAL i" » i1.?:::: 50.00
' " " . F t :E FEE AMOid AMOUNT+ i d PAID AMOUNT OWING
SEWER PERMIT 50.00 50,00 00
50,00 50, 00
_
PROCESSED F: t ..i i.)i....i.!::. is 1••t f•1 i i i
`RINiEi? B JULIE iI•, i..,f.;»i iO
SEWER STUB AS—BUILT INFORMATION Is AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO
FIELD LOCATE!::. I' NE,. CONFIRM THE
ELEVATION t.y N 3_! POSITION :.I SEWER STUB PRIOR TO f'a!-W. OTHER
EXCAVATION
TO LOCATE I i': Bt.:R IE'! CABLES, GA:'? PIPING, WATER LINES, ECT .
CALL i..,-i_, t.:i.. Ynii j r i (456-8000)
,:.!•:.ttlt::.!". STUBS ...._.. TO i 3.,t.:. CHECKED PRIOR TO CONNECTION TO i 3 t�i,�.,,Ei••;?::.
THAT! ! HE t ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
Fi'H:•**'P:•it••p;•j+;* CALL t.•O t'`'. INSPECTION {.:RI i:•i TO COVER •P:R'•j***.j,i***
*****-x-*** i HOUR
- " NOTICE . " . ! =3 - } ) i $ :*) )
aa . *) pp ) 456-3604
.j+i'Ri'P•:(•'1+i:'+i*'1+: +i'P:
*ytl..:.}... ) r : Ji„*:iii :: : 1 :S ! h : jTHANK ti : .jjr . : . : y. ij .jir. j ) p 9 •?:;! :p.: .1gpq.p..: