1991, 10-02 Permit: 91002130 Sewer SPOKANE 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=. 91002130 ISEUED PERMIT J 17•:t l t•:'•• l;}:'i:1„j:'9'! PAGE=•
sk :i: 11. j7: µ. ;: : j3 ) 11N : : : : : J : PERMIT , t _ _ {"ti ", : S * IN: j: } ti: 1 * 7* : t* `Pj9 : : i*
EITE#::. :.: .,., P• ± 717 :: :::.i#t-1 i 1#::.t'":'...:'•17`-1 a? . .... #.t Fq:•{t..:.......... " 20542-1331
ADDRESS= SPOKANE WA 99206
PERMIT _ i : _ EEWER CONNECTION .... 0802
*'!t'J± :.:•E E NOTE '11:3':'N:
PLATO= 001360 P L..t-a T 9''E f••i#'#t:. 11 1; PARK Ei?i:
±••i3.±...ri._. ti:;!•J'•::-•:: .1.:?1.'i ±-.,_.. t.. ;:,I I?? # ;•i:::: I?±::.i:::TI..I::: i':;,'`i,:1:::: 50:^ .
4 i„j#- �;i 11!:r,:::::: .±;. DWELLINGS=� trtl t WATER DIST
OWNER= : t ya 1 fPHONE=ETREET= 717 E SUNDERLAND RD
±;'t.::c:i x 'xii:' t.1r-. 992O6
CONTACT ±ar••t{±#::..... TLC i . #.:t..iO#`•.#::. NUMBER= 5•:? r 927 6760
BUILDING :E#::. j;5 A t.:#''•',::- : FRONT= t':1 A LEFT= NA RIGHT= NA REAR= A
i=1i aiK ili•jai•31r'P:?±:'!4 !i Ir**•ir:**ai 11i'P:* C 4t'1C*'i 'jk-r:a' 4 .t.#:;t i••t•,: 1.. Mj±..;,.:1,..jt..ni 1k ti,:.jt.91r.jj::}t.iqi a.rui.j±}:3i:**:1':.j:..±t.rR..jL.1:.:d,••j±i;;••j±r•jf•pi
CONTRACTOR= TLC i-: i:ONS i Rt,?i,: t .#.c:i•'$ PHONE= 509?:j': . .... . 6760
STREET= '# .?0-# ... E 'i t H A xili#.:
ADDRESS= SPOKANE
WA 99216
ITEM DESCRIPTION QUANTITY A M#l i.,i,i..i.
PROCESSING FEE 10„00
SEWER CONNECTION 40,00
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1. 1. f.1... .. 3.7...:.1.,...:.1.j.!..-.1...J-.....A..:1:•;1...:.a::. PAYMENT ,::e.j�"#i'';(.:j i•,'`[ 1.�.:.1.1.!.1.1.1>.�1.,•.:.:�:•A:'71::..I')t l.....1.,. .. fl:..,...
A Y i#E:N # DAT E: REt.:E:.I P # #' PAYMENT Ftt"#t..jt.i`:' #
10/02/91 7179 50,00
TOTAL 1 r L ?.?U#::.= , 00 TOTAL#-t'7L :`t::•i I;j= 50,00
PERMITTYPE 'EE AMOUNT 1.iN t ti tN PAID AMOUNT OWING
SEWER PERMIT 50,00 50,.00
PROCEEEED BY : JULIE EHATTO
PRINTED BY : :.?i..?L...._: SHATTO
#::.W1::.R STUB t„t?i A:::....fj1.j.#.L i INFORMATION ..... AVAILABLE AT THE COUNTY
CONTRACTOR i 1.:#'; t.±#'; APPLICANT .#_.:', # i.i FIELD AND .i;:al.' .._t'•`”! THE
ELEVATION , POSITION t_It SEWER Wi::.l; ;Ti .B ;,Oi O ANY OTHER
i
EXCAVATION
i_i.. LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT „
CALL, t.t#..FO±.:t.. YOU DIG ?.. 456 .0e'•'1
SEWER ' i-j±a::. 'Y t;, TO BE CHECKED PRIOR TO CONNECTION TO# i 1 tR#..
THAT t t HE f ARE CLEAR
... . { R a' , UNOBSTRUCTED „ THE SEWER "A
. N
j **Pi ) } ) CALL FOR INSPECTION PRIOR TO COVER *? *. XFe . :
1
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.j1 ) j .pp , 456-3604
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