1991, 07-08 Permit: 91001142 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. 1 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
PROJECT
NUMBER- %00ii42 ISSUED PERMIT DATE= 07/08/9i PAGE- O'I
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PERMIT INFORMATION
SITE STREET- i0722 E 27TH AVE PARCELO= 20543-3714
ADDRESS= SPOKANE WA 'rye rj206
PERMIT USE= SEWER CONNECTION -- r?C?1iTH K t. K (:iii O
F'I...AT = is Oi :a> 3 F`I...AT NAME= = !<t:il{Cj'MO 't•Cilx NSI TE"
BLOCK= 377 LOT= t
A R F:: Q:: F• : ' F• = F WIDTH= 100 DE::P-tH- 136 6 Et: W =
OWNER= R TLJE`:T:{t•.tN T•'r•iC.i•t•iA S PHONE= 509 `-.' 24 0:':: 4
STREET= i0722
27TH AVE
ADDRESS= SPOAKNE WA 99206
BUILDING
CONTACT NAME:: DONNAC.:�OURCHAINE:: PHONE:: NUMBER= !,.709 9248,:••
BU:EL..D :ENG SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
SEWER :. '. , • '41.9,
�; PERMIT
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CONTRACTOR= Ci:!L. RCi• RINE. CONSTRUCTION PHONE= 509 924 548!5
STREET= i6402 E:: w AI-.L..E::YWAY
ADDRESS= VERADALE WA 99037
ITEM M DE:.SC::i IPTION QUANTITY FEE AMOUNT
—.........-.-- .............-. -..-........................................-................ ii;j _..............._.......- ----...............—......` -----
PROCESSING FEE `f' 00
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PAYMENT SUMMARY�f �i ii it 3i $ Jt p: i�: ik Jt 7l ii P: 11 ii n ir::n: �: i•: h: A e ii P: o: i�:
PAYMENT DATE= REC'E::EE=T4 PAYMENT AMOUNT
07/08/9i 4470 50.00
TOTAL tit..::.::_ :00 TOTAL PAID= _i.::: .y'•:.4:0
E'I..:ELMIT TYPE E"EE:: AMOUNT F•iriOUNT F'r•'ID AMOUNT OWING
-------------
SEWER PERMIT 50.00 ry0 i0 :. 1 :1
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER ,STUB AS—BUILT INFORMATION IS AVAILABLE AT. THE:: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND ;";ONF'7:RM THE
ELEVATION AND POSITION O1= SEWER ,STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER I...:I:NE::.S, E::t;T
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE: TO BE:: CHECKED PRIOR TO CONNECTION TO IN,•UEtE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL.. F O R INSPECTION F'RIOR TO ] Ct:tVE;:R
yiri» ii r9iii .24 HOUR NOTICE REQUIRED
456-3604
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