1991, 10-31 Permit App: 91007418 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
Ar
PROjECT NUMBER= 9?!.;0';4•1 „ APPLICATION'' DATE= 10/3i/9i PAGE= 01
-?
PENALTIES WILL BE AS,.iES::-E1_J FOR R f.:O±i,!I.:.Nt.: NG Wi.::iI•'•:I`. WITHOUT . A PERM!'''
.................... ........ ._, ,,,, ,,,. ,,-..... ---• ---- ,.,. ,,,..,,, _„ ,.,, ,-„ _,. ,_.-,..-...... ,...._- ..— ,-.. -. — .._ ,,., ,,,, _,- ,-.. --. ,,,, ,,_ ,,., „-. — ,... ,...._...,, ,.,. ,.,..-., .,,, ..,, ..,. ,.-, ,,.. ,,., .,,, ,,,, ,,,.......-- ,,,, ,,,, ,,,. ,.,, ,,_ .,.....- .,.. ,,,. ,...--....,........- „-. -.,.
SITE STREET= „
ADDRESS= 1: E1-(r•:I+Jt'-fl.,.?::, t!,A 99037
PERMIT USE= SEWER CONNECTION - VERACRESf
PLATO= 001593 PLAT NAME= MCLAUGHLIN ADD
BLOCK= 2 LOT= 14 HONE= SFR .C.
I:: -
AREA= 00000000
_.iJJ:.F/A= F WIDTH= DEPTH= . .6 ::::
OWNER= ';QU-7 t:?: i,{"tip; i•Ni::? f: _ii._+±`' -%E::::
STREET= i005 E 26TH AVE:
f-?DDRl:: V,...,:r•Yi:tr•f±...e:. t!.!F:i 9903**i*`
CONTACT Nt-f:?±.:.:::: !•l,f7l'% ,L(.!liSRIGHT=
_ PHONE;`• -11 NUMBER= '7 �> '+%::..:.. ........'::J
BUILDING
SETBACKS:
....# Bt"fC .. FRONT= N.•4 LI:.i:.T NA:I. I i = NAI";Et R= NA .
'J': 'P: P: •R :R 'P:}s:.J,..J,..}+..,,..,,..y,..J,..J,..J...}+..J!..},..!,.:%,. �,..}+i •;+: 7k •tk -tk 'J!• Pi
SEWER PERMIT •i,j .}r..},..},? �,? .}$ .},i .}r..;i• •;+i �P: �N �Pr �)i -Pi �Ni •P::i..},..},..},..j�..},i •;i• �Pr �Pi +r i r..J,..J..
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 10562
ADDRESS= SPOKANE WA 9904
ITEM DEVit•t.:R±.e'"[ION QUANTITY FEE AMOUNT f
,.,. -_. _,, ,,,, ,,,, ,,,, ,,,, ,,,, ,,,,,,,, ,,,, ,,,, ,,,,,,,, ,,,, ,,,, ,,,, ,,,, ,,,, _„ .,...... -... ,,,, ,,,, -------- _................................ ---PROCESSING FEE Y i%o()
SEWER CONNECTION 40.0C.'!
-
PERMIT T,Y:::E
---------------
SEWER
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FEE AMOUNT
-------------
50. !;Jl;J
-------------
..%!:% .. 0!:!
PROCESSED is 'f - .l%i„ M I ± R+. +,'4' .I. tA• I^I : !-[ i-1 M{ .I. iyt
PRINTED BY: Di„?'i.!.±?'•`.+OV.1.CH, ROB.I.?''-1
AMOUNT f PAI D
------------
10
._ .................... _..............--...,..
1+
------------ ;
01;:;
AMOUNT OWING
----------------
5
,., _..._......................... ........ ........
5 0 . c ys;
----------------
50
...................................................
:•..
SEWERSTUB ,•�`.....�it.i:l:l.., ± INFORMATION ;:S Ab'A.±.±...{::,ril...!::. AT ±±••.±::. COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE . E } CONFIRM ±,± '±:::.
ELEVATION r•+s , t .L% POSITION OF - ::•±::.4j?L..?': STUB PRIOR : O {•3 r. Y tJ ! H ::. 'i
EXCAVATION ,.r. C -Y `ti ,r: T I +"•i iii
e
, +..? LOCATE BURIED
".,
t.:,�:f : t• : ?•• : � : x A
PIPING,
:x: t:f a ,::. �'•: LINES,
ECT.
CALL BEFORE YOU
DIG
_:-
SEWER STUBS ARE
TO
BE CHECKED
PRIOR
TO CONNECTION
TO 1NSURE
THAT ! 1-• Y .., R .. CLEAR
AND UNOBSTRUCTED
TO ^± 91--
SEWER MAIN
J!• :! i+ J J J P n CALL ?"
?... i'i
INSPECTION
PRIOR
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HOUR
NOTICE
REQU.±.I'',?::.!, J
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456-3604
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