1991, 09-06 Permit App 91005492 SewerSPOKANE 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= 91005492 . .O
DATE= 0 /06 91 PAGE= 01
et)iJt) i6lE TI"jI, IS NOT A PERMIT )t)L')k3tXJt
PENALTIES WILL .1i:: ASSESSED FOR COMMENCING WORt. WITHOUTr; PERMIT
SITE S i REE T = 2206 S UNIVERSITY RD F'ARCEL.O= 9541 .... a80
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION NORTH KOKOMO
)l3(3h SEE NOTE 7k MS'*
PLATO= 000382 PLAT NAMENAME= CHESTEr HILLS r"rDD
iti_t i K = 9' LO..i T = 1 ,c ONE= AGRtI DT., T4== r.:
r=RE:A= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
OF BLDGE = 1 4 DWELL. IN S= 1 WATER D I., T ._.
r-:IWN1E•R= TSAR T INDALE PHONE=
Si RE::E T =- 2206 S UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON SLOAN PHONE NUMBER= Gi09 92. R900
BUILDING SETBACKS: FRONT= NEF T = NA RIOH T = NA REAi = NA
Ji' Jl Jl )l• * Jk k lh 1L ll 1: It 11: * * ){ Jl * A Jl li P: Jl * P: * * 3i SEWER
PERMIT r P R N)!' •) • X• * )U y{ )k k k Jt) J!• 3( )l k . P: 3i• 74 Jt•'n 9> 1>: *
CONTRACTOR= ALWAYS ACTIVE
S T tit. :ET= PO BOX 141 562
f. DDRESS== SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
FEE AMOUNT
50.00
50.00
PROCESSED BY: : ..JULIE SHATTO
PRINTED BY • UULIE: SHATTO
PHONE= 509 922 8500
QUANTITY FEE. AMOUNT
Y 10.00
i 40.00
AMOUNT PAID AMOUNT OWING
SEWER STUB AS —BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR or APPLICANT IS TO FIELD LOCATE N CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB UB PRIOR TO ANY OTHER
E:.:% AvA I a.oN
TO LOCATE BURIED CABLES, GAS PIPING; WATER LINES, E:CT.,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
TriAT 1-•i7Y ARF Ci._ERR AND L,'!OnSTrsi.JC•i ED TO THE SEWER MAIN
P:Ji3kA•k)k)l,t3i CALL FOR R INSPECTION r`R.l.r?R-1;rOVErc ii K*Aik iiiik*•1i
* P k Jl• )t )t )t• )�. )h r: °•y HOUR U R NOTICE r{. r•. !a! i.J .l. R F v * * 3L 3r 3! Jk 3t• * * *
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