1991, 09-26 Permit: 91006250 Sewer` '^
SPOKANE COUNTY ��EPARTK0�NT��F BUILDINGS
VV.13O3BROADWAY AVENUE
SPOKANE, WASHINGTON SS2GV
(509)458'3675
1 certify that I have examined this permit/application, state that the information contained / it and submittedby me or my agentm compile said permit/application permit/applicationis 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 thatthe issuance ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
giveauthorityto violate oricancel tthe provisions ofany state or local lawregulating construction, oras a warranty ofconformance with the provisions of anystateor local
SIGNATURE OF APPLICATION 01
OWNER OR AGENT �5b__n DATE-- I
PROJECT NUMBER= 9iOO625O I%%UED PERMIT DATE= O9/26/9i PA�E= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= i26O6 E 2i%T AVE PARCEL�= 27542-2464
ADDRE%%= %POKANE WA 992O6
PERMIT U%E= %EWE� CONNECTION — DRY LINE ONLY
*** %EE NOTE ***
�LAT�= OOi222 PLAT NAME= HILLC E%T ACRE% �%T ADD
BLOCK= 5 LOT= 2 ZONE= UR -3.5
AREA= F/A= F WIDTH= DEPTH= R/W=
:i;. OF 1.11 1'. DWELLINDI%T =
OW ER= DAMON, DWIk�HT PHONE= 5O9 928 263�
%TREET= i26O6 E 2i%T AVE
i) 1_7 %POKANE WA 992O6
CONTACT NAME= %TEVE %CHNEIDER PHONE NUMBER=
BUILDINL %ETBACKjT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALL PHA%E EXCAVATIGN INC PHONE= 5O9 455 8275
%TREET= i2i9 % MONROE %T
ADDRE%%= %POKANE WA 992O4
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------ -------- ----------
PI—
ROCN� FEE Y 1O.00
%EWER CONNECTION i 4O.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTMPAYMENT AMGUNT
O9/26/9i 6954 5O.00
--.... .... —.... —.... .... .... .... ....
TGTAL DUE= .0O TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
--------------- .... .... .... .... .... .... .... .... .... .... .... .... .... ------------ .... .... .... —... .... .... .... .... ... ........ ....
%EWER PERMIT 50.00 5O.00 .00
.... .... .... .... .... .... .... —.... .... .... -- ------------ .... .... —.... .... ... .... .... .... ... .... .... ....
5O.00 5O.00 .00
PROCE%%ED BY
WENDEL, �LGRIA
PRINTED BY� WENDEL, �LORIA
%EWER %TUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELE�ATIGN AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%| �A% PIPIH�, WATER LINE%, ECT.
CALL BEFOFZE YOU DI� (45�-8000)
L. l", %TUB% ARE TO BE C�ECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UN BTO T�E %EWER �AI�
********* CALL FOR IN%PECT ON PRIOR TO COVER **********
********* 24 HOUR �OTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANKYGU *********************************