1991, 11-01 Permit: 91006648 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== 91006648 _SSUEI) PERMIT
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DATE= 11/01/91
PAGE= i'7i
4T INFORMATION i)e idddidtr: r es 3 h r 33a.e
-. 13, LN PARCEI...:g:_::22541-1503
,S I: TC_ STREET= .�� S LEATHA
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEINER CONNECTION -- IJLIIi 903
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SEE NOTE 3t33r
PLATA'- 001436
B1.00It=
AEREf.
OF BI..DGS-::
OWNER=::
STREET=
ADDRESS=
PLAT NAME=
I.'/A=:
DWI: LLINGS
MASON, RICHARD
319 S LEATHA LN
SPOKANE WA 9921
LEATHA LANE ADD
3 ZONE= AI.vSUf
WIDTH=
1 WATER DIST
PHONE=
CONTACT NAME= LEONARD PHONE
BUILDING SETBACKS: FRONT= NA LEFT= NA RIG iT-= N1-1
1*.7i..7i.3i..P. *.ii..ii..yi..ii..Ji..* 3i..yi..h..* *.h: R. T. 3R..3..N..yi..yi..yi..yi..yi..yi. SEWER
3i'38R3*
PERMIT
CONTRACTOR=:: H S CONSTRUCTION
STREET= 11817 E:: VAL_LE:YUA'T` AVE.
ADDRESS= SPOKANE WA 99206
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ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
SEWER CONNECTION .1
3+:3i3&3i..ft..ii.3i.7i..k..ii..yi..yi..LiR.3i..k..h.R.R..7E.y{..ii..Ji.3E i'AY1`i E:NT ;•IJM'lf=1RY ai'**3i'3*3*
D11711. -
DEPTH= .11711.:::
DEPTH=
NUMBER== 509 926 8964
PEAR= NA
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PHONE= 509 2.6 Q964
FEE AMOUNT
f
10,00
40,00
#3F3i:: ii.*R3t3*3@34 h' R 32Ar W3 di*
PAYMENT DATE
11/01/91
TOTAL DUE::::
PERMIT TYPE::
SEWER PERMIT
PR(3 SED
Er,NTE:D
RECEIPT
8264
.00 TOTAL
PAYMENT AMOUNT
50400
------------
PAID= 50.00
FEE AMOUNT AMOUNT PAID?
50.00 50..00
50400 50,00400
AMOUNT OWING
400
BY: JULIE. SHATTO
BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT
UTILITIES DEPARTMENT .;456-3604)
CONTRAC'T'OR OR APPLICANT IS TO FIELD LOCATE
ELEVATION AND POSITION OF SEWER STUB PRIOR
EXCAVATION
TO LOCATE
I..r2LL.. 13LEI3
SE:wER
HA' 1
* *****i
3i:R3i3i3i.***
* Ti3*.i.:p:3i :a.*3*
BURIED? C::AliL_E
THE C'.OI.JNTY
AND CONFIRM RM 'T'HE
TO ANY C1'1-I..IIER
, GAS PIPING; WATER LI
E YOU Dli_. %',r.-8000)
ARE TO DE CHECKED PRIOR TO GONNr
ARE CLEAR AND UNOBSTRUCTED TO 711E
CALL [lit.' INSPECTION .l.1ji' P_ RI TO COVER
,
:(!3 HOUR NOTICE I':'I {:,4).l. ��. 1:.✓
456-3604
3Edi..7E.7iit: 3 R#R36*3**3tt*3e*M.:ni*3
TI -TANK YOU
3i..Ji.3i..n.,i..7r
ECT.
_IN -f0 INSURE
IzJER MAIN
.............
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