1991, 10-03 Permit: 91006479 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS dimmimmomm7
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.Alf.rayj ions of I.ws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuanc-- .ermi ..• 'cation a c a .ubsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the p • isions of any state or a aw re. = g construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION (e/e(71(/
OWNER OR AGENT '/%.t./ DATE
E"E'•:!.!,!E::.€..: ? t'•J€ .f:'E::.},:.... € ;;i 0,^;4 , :;}.1.......... PFRMTT DATE= .i .:i.'!"i, :`= 't PAGE= 01
..f *F ?Hyt J iJij : ;Jf ;: ; } { :*..y{.. (; PERMIT lf .i ; • - I _N u P; R? ly : :. t *ri } i *3P, } »r £ i. RN
SITE STREET= 11221 F 31ST AVE PARCEL4= 28543-5033
PLAT4= 001393 PLAT Ni--tr€;••.:: K€_,K€_,!'i;_I ! €_.iiR.iv^.S i•
BLOCK= LOT= ZONE= UR-3.5 (,JT .T.zw....
AREA= WIDTH= DEPTH= I+._,'tx!=":
:.. t-tl.. E._, t : .... DWELLINGS= WATER DIST.
OWNER=
:t:•Y;..:1Ci.;_:. BRYCE '€.•'H€..(i•+IE••• 509 924 0209
AVL
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RA? SHORT PHONE NUMBER= 509 `:y'..%i:f 247
BUILDING SETBACKS : FRONT= NA i._}:::.t....3_::: NA RIGHT= NA REAR::: NA
:if: $•f}:''fi* ..*9!i...1:•P:-Ai..-i}•..i}i.'tr .i .•Pi F:.....:n SEWER PERMIT 1}i*?:3}i..•1!• .'..•A•'.......Fi•T}•A••A•:F •A• .. Fi.. :!:. .,
WEST CONTRACTOR= MOUNTAIN-i••€.E.::i €t"t7::.sMECHANICAL PHONE= ..}ty s' 92e 4i•E
STREET= 9116 E SPRAGUE AA V E::
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCE
SING FEE 10.00
SEWER E-`LCONNECTION 40.00
:•. :•..l. P.J?ft!•.}::? !? A.. !.i.a. .?„.?. : !? J- &c. .. PAYMFNT ::•i.,t i";'t :€h?,Y 'i: J(.,,: (.i}::}:i}i i::::}i fir 7::••4:{R•:}:;:;::":......:-.*..
PAYMENT DATE t•• €.,:..€ t Y tom: :N AMOUNT
10/03/91 7275 50.00
TOTAL DUE::. .00 t €-,1 € AE... PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PA« ! AMOUNT OWING
SEWER E':}:...F/M..-I 50.00 50.00 .()0
50 ,00 50.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER «_ B AS—BUILT iPtti " ; v € y J : AVAILABLE t'-? E THE E" !-.+..i,.-);-v Ei
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT i:A IS € i_f FIELD LOCATE AND CONFIRM ;••s' _
ELEVATION t•€€:}€-. POSITION OF SEWER STUB t«:I_....€!.i : O ANY OTHER
EXCAVATION
; LOCATE Bi9J CABLES, GAS PIPING, WATER LINES, ECT.
CA€?...t... BEFORE ;`O3..E .IG (456-8000)
000
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE• CLEAR r•:I Eu 3, UNOBSTRUCTED T z;• COVER
E 1•;t SEWER MAIN
..
INSPECTION N S,..
....... ..t.y. CALL FOR t•; }:{ ;-•r�i, "1-€_;Ev, 1 ,~€�-i € €�; .._'+;E::.E-<. •n:s?•;R:�:-Jr'h:•a:•fi:�:�:
-, :.
...... :t!r HOUR NOTICE REQUIRED J.
X:•p:•{i n:-if:3i•i;..i}:a: 456—'3604 }:=fi:*i}:i}:•i a:n:if::ff:
•e:-};:'f`:9t:;':".•k 4C•Pt"}:.,}. .}?._},..y,..1..J?•:fl:a:•?•*p.J..:.-J.. J?}f,y. :• J{J; t., THANK Y t t,•! **************** **** *** *** K