HomeMy WebLinkAbout1991, 11-06 Permit: 91007423 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
*'1":t.!•_t I::.1.,: i NUMBER= 91007423 ISSUED PERMIT DATE= 11 /06/91 PAGE= 01
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A'd1 PARCEL4= 1654'1 .. 8t:i;
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ADDRESS= u I::.1'S t::. i f..l 1...F:. WA 99037
PERMIT USE=t::::::: : 1::.t,.tE •. CONNECTION .... :i s'-"R;..-t i'.i.t... .
.:i r•• ,t...:: 003091 PLAT NAME=.... tt ' =
ADD
?ta =
AREA= LOT=
" !r : ' LONE= 3t ' , 1 t , a :
WIDTH=: ` DEPTH=
;•
144 i•:,.,+`i,c::r 60
:it- OF th 1.tt:i..... :`+' Dui::.' •1 WATER E'`•. D..S I = VERA
,_,:INE'S:c: THOMAS, MARK i CHRISTINE PHONE= 509 922 3304
** t'4 t"i'�T:::: .I 4722 r v1 i'1 �1�.
ADDRESS= . _..REDAL.E MSA 99037
CONTACT NAME= A .... PLUS PHONE s'.+..?i"?4{l:..R= 509 . ....'t ::759":
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT== NA REAR= A
.1+,.j;_.j+..ir..)+::++:•1+::+i.'+i':+i$t•i+:'J+i 9+:'1?•'i'r•Y:'h:'1?•3k•1k:!•?+i•i+t•it•1+:•1t'•1t••14 :'i 1::.ixt!::.t;. p t::.i.1`•l !, - .il.:1i•*a:+i•it•i!•i!t:1+i:!{• +i t{.:jt:jt.*;i•;_:;+:}(;:jt:.,y:.;+i?c s+i:!+:•il•*-i+i a
_:t`N 11?::i3.: 1 Rt.:! I''1...1. _:: L.:is l`1::: 1 I '•._t t.. I ! !1-,: PHONE= 509 922 4594
STREET= PO BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM....M t;i::.... ::r ... . ...Oi•'? QUANTITY FEE AMOUNT
10 ,00
SEWER i..::_I Nt::.t..a .t.OI' i 40,00
.. . . ... ........ ... . ... .. r•..,Y M_..._ ... . . .... ..
•!!;.i{•:}{..i;;.i}.:!!;.t!•..j,:l+•i!:-jf:-j!•-j1;•!i;-1t'it'�1t•�1i•ni'lti+i-,:•Pi•:!r�!:-it;•ni i!!:•i`i 4!:'P: . .••.;S t 1� -•Y i 1"i"t?I'-Y '1?''j+:•1+::+::+k-P::+i'iti'i7:i:i!; 'i!i:i:i>!.•..'•I+r �'is: :!i !:.i f..1:..i,..u..t+.}!.
17...1 ='•• i
PAYMENT 1 A !.. RECEIPTO 1.:A Yf"3'-:•9 2 ;"I t,i H N ;
11 /06/91 0410 50, 00
TOTALDUE= :•00 TOTAL PAID= 50,00
PERMIT ! S1'`!... FEE AMOUNT (_t I"1 t.1 U��' 1 PAID •1t"1t„i!,.{i'W ; OWING
-----
SEWER :R : i 50,00 t ; ri ; .00
r..:,
i": .;t.:Y.:.�:•:a 1::.1.1
BY = ?t.i i.._.i.1::. SHAT TO
PRINTEDBYDON •TROu Ct..t ROBIN
;! f: ' l t AS—BUILT . MA IO t ; AVAILABLE €-•1 ! THE..... I..:t.?t.3N1 'f+
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT .t S TO
FIELD LOCATE AND D O N I•• t R: f i i::
ELEVATION h$i'�..% POSITION 3" SEWER STUB PRIOR i t.? f•'t 1'�Y` OTHER
EXCAVATION
TO LOCATE BURIED :: r1 Y a` PIPING,
` 1 - 1 Nr xTE = LINES, ECT,
CALL BEFORE YOU ri (456-0000)
SEWER STUBS A a:.. 1 O BE CHECKED }'1'C.:c: • TO CONNECTION TO INSURE
THAT ..i._i t....3:
" ,
tCLEAR i D UNOBSTRUCTED TO T tiSEWER MAIN
1 *: 1tP ) ** ""itFOR INSPECTION PRIOR TO COVER kiiPi ; ;q
*
) 11* t1 #i ! ` ` "` t" NOTICE REQUIRED J`• E•}e•4.y?..i`*$i-i+ •
;k:?• +i•N:•iti-j!;:!;•!+i;!: 456-3604 k i+i 3!i:»i tt'i+i•it 1t 1!i:+!i
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