1991, 09-18 Permit App: 91005828 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT J M. [ r - 91005828 APPLICATION: DATE=
R r - 09./; 8 ;
PAGE= 01
k"1ti?-*1t•1F THIS. IS NOT A PERMIT • N•K•if•7ki?•
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13304 WICK C..S a u .. PARCEL4= 27541 -1911
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION '•^ WOL.FCRE:S.T
1t. * SEE NOTE t; 4t•9i.H-
p L AI i.n..._ 001841 PLAT
..- :,x: ,.- OPPORTUNITY
iITY ,E
BLOCK= ::y LOT= ii ZONE= I , it Ie.4;•I.+i.....
AREA= )0k0l, : 1
r :
r _ F WIDTH= ;:! i1 - ti -
nOF BLDGS= eDWELLINGS= WATER
'1 tx:A{ i E;.t':. ti..:�• ± ::::
OWNER:::: ANF'ODE , HARRY PHONE= 509 928 7969
STREET= 13304 E. WICK AVE
t{i)I.ip Z5::_ SPOKANE WA 992i6
-tNT NAME=
OrI )
PHONE N► ;_R= 509 926 89644
BUILDING SETBACKS : FRONT=
;�t t LEFT- NA RIGHT- N A REAR= NA
"il•1+:••}+:1+:•il•N'1k P••b:i{'1{•'PL•ii}{P:1i•P•tE A-)t n•in:9+:ik fl 1i•'F:1t'1+: SEWER PERMIT -!+:9+.••t?•9?'P:'P:•R'R•ih 11 ik ih ik"/t•'1+:'lt'P:•1t A:P:*iL R'P:'P.••ii: •h:i?•ik
CONTRACTOR= H
S CONSTRUCTION PHONE= -; : . : t8964
x
STREET=t •t 1 t1 i::. b' {1...L..',:::.i Wl Y AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE::E:: y' 10.00
SEWER CONNECTION •? 40 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 00 50.00
50.00 .00 50400
PROCESSED BY : JULIE SHATTO
PRINTED BY : _IU;...IE:: SHATTO
SEWER STUB AE-BUILT INFORMATION IE AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF ?[:�t�1: i�: STUB PRIOR TO ANY
EXCAVATION
TO LOCATE BURIED CABLES, rAc PIPING, AA TE LINES, ECT.
CALL BEFORE Y t t t_. i j.a i_v (456-8000
SEWER a- ?t ; -FETO BE CHECKED Fti. OFTO CONNECTION TO
INSURE
THAT THEY ARE CLEARAND UNOBSTRUCTED TO THE SEWER ` . IN
; i 7 N�E r:=i.LT N 1 COVER ...
•P.•1?•3?••A:•A.••J?••P:'It•N.' �.(��!t...+... FOR F< I.!�,S':'+ L..�'• [ 1 l�I'C ±"±'t I.(f?•K i i-i [.:?.. I;;,:_: 'R'P'1t P:1?"'R::R':n:'R'•++:
xiiirr :iHOUR NOTICE REQUIRED i1t ? ) E9i
•Pi I?•*•yi•I+.'1 :+':;+i 4?• 456-3604 'P:•A•A•k{pi i++i i'+i•ik•i+i•r•
******************************** THANK
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