1991, 04-11 Permit 91001462 SewerSPOKANE COUNTY DEPAFi31ME•NT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that Nave 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 Aw 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
I'RCt...iEC;T irliJMBEnR= 000462 ISSUED .I.:. ,� t.! E:..1 PERMIT ; A T E:: = !:; 4 ,"i 3 r 9 i 1=° f•.i f..T E::« 01
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ADDI'tE:.��';::«: �,'F'CIKANE Wr.".•S 9921 :.; ''tt tC::F I...,,:- ...._3.SY I .... tij..:, s
PERMIT I:T iJSi:::= SEWER CONNECTION CT:EClN — C86_.2
S E:: E:: NOTE * * *
AREA:::: F: / r:�:::: F. i,. I ij�'p-{= 86 DE P t {• = 247 7 I: F:.'I1.._ ,:-.:;
OF B ... Dq j r' «:: .„. o f
OWNER= GRAVES, DON PHONE::::
ADDRESS= SPOKANE WA 9902
i:;i-jNTAC:T �`1Ftt'ii: = :.1t:1DI .... f} & ir' ... SETBACKS: .._ .. PHONE �i t.1 d�f Ct E:' F� :::: 509 924 6182 r4?.�:I:LD:I.NG :�E�T'BAt;K.k: i=Rt.�Nf= i:IA Li=F_.;..= NA RIGHT= NA R .A(;= NA
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SEWER PERMIT }i � Jt j,:.ji jt a :�i li �: i+: ii iG �,'r n: �{ i,:• i,:• ii• �: �,: ik i,: u p: ii a i!r it i�:
f.,ON.I..Fir"CTi:TI`4= A ,: is CONSTRUCTION PHONE= 509 924 6182
Fi D �.� I't E::: ,.� �:: SPOKANE UNIVERSITY T F'' i.i
06
ITEM DESCRIPTION QUA>'`1-TIT`f' FEE AMOUNT
...._. _..._ ._.-............_ ........ __ .............._ _............_ ....._.
PROCESSING FEE i0loo
SEWER CONNECTION 1 40.0(-)
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PAYMENT
SUMMARY
PAYMENT DATE RECEIPTO 'P: 'R• .J!• 'h:' •P: A:� 9�: b: 9e: •}(• ik 9Y :p..f,, .P..j,..;,..f,..t!..!{. p::P...J>,• •P: •P: •N.' -P' i�:
PAYMENT Ahi(:1i.1N'T.
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r'aL 11i..Ei' : i)C> TOTAL i-'r' I D= '::f4'? ., i3 i•)
PERMIT TYPE FEE AMOUNT r•iM(:lUNT i"'AID AMOUNT OWING
NG
--------------- ........... — _......._........._ — ..rt ... — _.......... — _. ——..........
SEWER PERMIT
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PROCESSED BY: JULIE SHATTC-1
PRINTED B `r' : J U L.. I rE • H A .T...i (..'[
SEWER STUB AS —BUILT I"; r' A T .l: O N IS AVAILABLE AT T- F'I I:' COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR API`:I...:I:C::ANT 1 TO FIELD LOCATE AND CONFIRM THEE:LE: ELEVATION AND POSITION IT:Et: N OF >WR STUB PRIOR R TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER i..INE::S, E::C;T:.
CALL BEFORE YOU DIG (456-8000)
:s'I:WE::F{ ,`:T'CTB,S' FzRE:: TO BE:: CHECKED PRIOR TO C;(:iNNE::C;T':FOt`1 TO INSURE
THAT THEY ARE CL..E::r=`R AND i,iNOB;tiT'Ri..jCTE"D TO THE SEWER MAIN
CALL F O Ft INSPECTION PRIOR TO COVER
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24 H(:iI..iR NOT:I:I:::'E Ri.=QI.j.T.RET} iiJt H':k')i ,!9i N'ji•li.
456-3604�u- a�: •n.• �7r �ia •r: it �!• :„: ak
a!• �: �i• )% j;. 3;. n: f! f! n �i }k ji• ?t )i• r. •r' }i.:r. };..K. y,: )r ri..k. }i. i,..j;. �i. j;. �;•THANK '( O I..j