1991, 08-30 Permit: 91005450 Sewer i
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 p `cq
OWNER OR AGENT L DATE �J //
•
PROJECT NUMBER= 91 ( 05450 ISSUED ! ERr1 TDATE= 08/30/9i i PAGE= 01 AGi _ ,1
i*ii-i**ii'******•****i******•****i*** PERMIT INFORMATION **31•it•9l•**)t•9131•***A:******it3t1!AJl**)h
SITE a_ REE_ _ i 1 1 ' _ E 28TH h V E Fn Ft1i : _ 28543-4220ADDRESS= SPOKANE WA 99206
PERMIT USE= E::WAl F::t CONNECTION .... SOUTH it.u l i<t)M fI
*** SEE NOTE **•*
PLATO= 001393 PLAT NAME= i<C7i(COMO I'C:iiiiNS 1:i i::.
BLOCK= LOT== r•ONE:.:::: UR-3.5 D.i.s : :::: j
AREA= F/h- F WIDTH= 86 DEPTH= 125 l LI=:
:„: OF BLDGS= "• DWEL.i...INC;S::- 1 WATER DIST :_:
OWNER= GREGORY, fv!_!j' ..! PHONE= :.,t:,y
921 0702
STREET=1 = •I1I '' 4 I:.: 28TH FT AVE
ADDRESS:::: SPOKANE WA 99206
CONTACT NAM::::: GUY GREGORY PHONE NUMBER= 1509 921 0702
BUILDING SETBACKS : F"RONT::.: NA i...EFT::: NA RIGHT= NA REAR= NA
k**i ******au*a**x**** r *ri* ***hSEWER PERMIT
PhA** ******h ***********i **iPP*
CONTRACTOR= OWNER I•`FiOP/E:.::::
ITEM DESCRIPTION € UANTI:TY FEE AMOUNT
PROCESSING FEE r` 10.00
SEWER CONNECTION i 40.00
*'1t:•*** *P:*A:*J**•....:***•i**•I***i*:u****** F''AT'ME:NT• SUMMARY ***i*****b:*r?.'*..*' *•****.*..ri..r:•bi n:n:n:
PAYMENT DATE RECEIPT::: PAYMENT AMOUNT
08/30/91 6181 50,00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 ,00
50.00 50.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WE"NDEL.., GLORIA
SEWER STUB AS--BUILT .INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION rATIOr4 AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT.:
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE
E
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER 1"IAIN.
*it'****a;** CALL... Fq(it INSPECTION PRIOR TO COVER •X*:*****•A**
********* „s4 HOUR NOTICE REQUIRED i*********•*•
********* 456-3604 **********
h******n44r* 44x4ua4 *i4r t** ***** THANK you ***it*********ir*****i**•u*)***•* .4a*;i.4,..},.