1991, 11-13 Permit App: 91007792 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 01 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91007792
(fly G l -Zi DATE= 11/13/91 PAGE= 0i
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1103 S BLAKE RD PARCEL4= 22544-2805-:.-,
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - WOLFCREST (91-S40)
*** SEE NOTE ***
PLATO= 002945 PLAT NAME= WOLFCREST ADD
BLOCK= 1000 LOT= 5000 ZONE= SFR DIST:= F
AREA= 00000000 F/A= F WIDTH= DEPTH=
OF BLDGS= 1 0 DWELLINGS= 1 WATER DIST =
R/W= 50
OWNER= DAUBL J L PHONE=
STREET= 1103 3 BLAKE RD
ADDRESS= SPOKA E WA 99216
---CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE FEE AMOUNT
PHONE= 509 927 6760
QUANTITY FEE AMOUNT
Y 1 10.00
40.00
AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00-
50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
.00 50.00
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 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
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR`. INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************