1991, 10-02 Permit: 91003635 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
PROJECT NUMBER= 91003635 ISSUED PERMIT DATF= 10/02/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10317 E 28TH AVE PARCELO= 29544-0523
ADDRESS= SPOKANE WA 99216
PERMIT U%E= SEWER CONNECTION - SOUTH KOKOMO
*** %EE NOTE ***
PLATO= 000382 PLAT NAME= CHESTER HILLS ADD.
BLOCK= LOT= ZONE= AGRI DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS= i WATER DIET =
OWNER= ACKERMAN LARRY PHONE= •
�
STREET= 10317 E 28TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= STAN ANDERTON PHONE NUMBER= 509 922 4594
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CO�TRACTOR= A P %TRUCTION PHONE= 509 9:2:2. 4594
STREET= PO BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- --------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******** ********************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/02/91 7236 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
•
SEWER PERMIT 50.00 5O.00 .00
------------- ------------
50 ,00 50,00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWERSTUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (45"-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
* ******* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************