1991, 08-29 Permit App: 91005366 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certifythat! haveexamined 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= 0005366 APPLICATION DATE= i PAGE= Oi
*•h.•**ani* THIS .I. S NOT A PERMIT **•n;** ie
PENALTIES W7!_.L BE ASSESSED FOR COMMENCING WORK WI'T'HOUT A PERMIT
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SITE STREET= 10804 E- 31ST AVE P Ai;CEL_O= ::'.T3'a4;,....�: 332
ADDRESS= SPOKANE WA 99206
F'`L:.F=MIT USE= SEWER (;i.lNNECT:l:(:lN ...- SOUTH KOKOMO
** SEE NOTE:: b:' *
PLATO= tip;>i393 F'i...rA;T I`TAME::=:: !<OKOMO T•OWNSTT•F::
BLOCK= 53 LOT= ZONE= UNK DISTO= r.:-
ARE'A== 00000000 F: A= F WIDTH= DEPTH= R F,;_::
OWNER= RASLER PHONE=
STREET= i0804 E 3i S T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDE::FtTON PHONE:. NUMBER= 509 922 4594
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= IrkrA! REAR= Nrel
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SEWER PE:.RPII"I 'Pi •P.• •Pi •R• -P: Jh •Pi ik -Pi iii J4- -R P...j4..Pr .j4..N .j4..ji.:A: -A• 'Fr 'R' n.• •Pi •Ai !!. i�..'p'..P.
CONTRACTOR= A PLUS CONSTRUCTION PHONE= 509 922 4594
STREET= PO BOX 141557
ADDRESS= SPOKANE WA 9904
ITEM DESCRIPTION QUANTITY FEE AMOUNT
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PROCESSING FEE Y 1%00
SEWER CONNECTION 1 40:.0(-:)
PERMIT TYPE
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SEWER PERMIT
FEE AMOUNT
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50 ,, 00
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Ci0 . O?')
PROCESSED BY: JULIE ..: i•i r1 i ..
PRINTED BY: JULIE SHATTO
AMOUNT PAID
------------
•,00
------------
. 011)
AMOUNT OWING
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50 .
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r..
SEWER STi.1E:{ AS—BUILT INFORMATION IS r"tVr-?T.l...rA;k:;i..E AT THE:: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POS.T.T':EON OF SEWER STUB PRIOR TO rAaN`r OTHER
EXCAVATION
TO L..00ATE:. BURIED CABLES, GAS PIPING, WATER LIMES, ECT.
CrA•ILL.. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PF:°]:. TO CONNECTION TO INSURE
THAT THEY ARE:: CLEAR AND UNOBSTRUCTED TO THE SEWER 1"!r•A1IN
.jl...n....n..j1 k..N..tt .j;
CALL FOR INSPECTION PRIGFt TO i C;:OLEFti il• •A• .jF :p..b: -P: '1': •P: •p: •P:
x ii ;: s• iG ii i•: 3•
24 HOUR NOTICE F E 7;11.1I E::ii �i ri ii :•i i=: �: ii �( i; ii
456-3604
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THANK : • .....1 ...... .
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