1991, 11-07 Permit: 91006002 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 NUMBER= 91006002 ISSUED
PERMITPAGE=
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SITE
STREET=
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ADDRESS= SPOKANE WA 99216
PERMIT :E: :. WE ; CONNECTION t t ,.lt 903
**a SEE NOTE ) )i•R'
F. ` nryt ""_
: PLAT y �Ai - RANGE
L ; ZONE=
Ovi : ? d , DIST :
AREA= 00000000 'i-i= i-• WIDTH= t 7I;:.?-:-ri..?,_. R/W=
_.
4 OF BLDGS= •i+• 17 txe!,.:.?...?....?.f•3 i,•,\:::: 1 WATER i.%.i.:'> ? ._.
OWNER= STEPHENE PHONE=
STREET= 13609 E
AVE I
ADDRESS= SPOKANE WA 99216
CONTACT NAME=
^r_ = LEONARD
: i,r ° rRIGHT=PHONE NUMBER=
MBEi:
509 926 0964
BUILDING SETBACKS : FRONT= , > LEFT= ` ( NA - - `; : NA
*:*****K********************** : EWpR iE E M. T Hi . . Y M. . . . *A . . . .. . k. P . .. . h. .
PHONE= 509 926 8964
CONTRACTOR= I"e :}i z.i t.:O*''f E ? !L:t.f t.: i I t.' k.
-• + i'l F:.j.. { :::: -11017 :... 'I r'}!...L..:...1 W 3•.{ t:.}ii l:.
ADDRESS= !'C<A .?E WA 992(.)A. ....
ITEM DESCRIPTION +!!{•"•t'i'p T:i. . `f FEE AMOUNT
r.:'I rr i i:k:c'.i:;;4 G �. I:,,I::' v 10,00
y I. I. CONNECTION' i 40.00
.. ...... .. ..............:,•.::::::;•.....s.s; •............i- ::'L�Y 'ENT IMHAR''i :.,.....1.lx,x i.t.,.!t}.A:?...).i.}.n,.t.1..i.t. ...
•R•4,:•!k•Ik'A:9@ 9,•'i,. :,.A,A.t-.i!.,,.A. IS A.?.:.,l,i.•:'7i.1.i.R ,. ik.. I .�'+. ........ �i, A,::,j..l,: j.:}.:::,•.:j.:j.:,(.::. -::}i..j.:{.:(.::.t.:,::,::.•.:y.:j.:j.:y..,.
PAYMENT ,-. : TE .••.I.- F I t::T:::. PAYMENT AMOUN..
I /!.i ,;' ,'-j 0264 50 . 00
PAID=TOTAL, t-a; DUE= :.4:!':} TOTAL j.:;.i.i:•'-• ... _
00
PERMIT TYPE ,.. ..__.. AMOUNT AMOUNT PAID ...{.tt"1+` N#.....�_OWING
..;...
SEWER PERMIT i i 50.00 .00
50.00 50 ,00 ., 0,.:i
PROCESSED:E ? ' . .•ti.?i._:.E t.Hr4 •T'U
PRINTED BY : JULIE EHATTO
SEWER STUB AS—BUILT :!:!•il'-t.i?'`•'.t'"t=1'i'INFORMATION .i::. AVAILABLE ATI (•-i::. COUNTY
UTI L.I ? IES DEPARTMENT (456-3604)
CONTRACTOR .R APPLICANT IS
TFIELD
LOCATE AND CONFIRM THE
ELEVATION t•1Ni_! POSITION +..1!- SEWER ... ...... PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED % ji ,
; J GAE PIPING,
. . ' i ! t . .e . . J : ,
ECT,
CALL BEFORE YOU DIG (4568000 :
SEWER STUBS ARE: TO
:F CHECKEDPRIOR
RIORTOCONNECTION TO 3
N
SURE
THAT • + # i , ! + CLEAR AND THE
SEWER MAIN
$ E. PA4a. . CALL F INSPECTION -' ' i } COVER *NhRRpf. Ak
.y+.*:,j.:t.:'A.jj.:!{..P 24 HOUR !:v O•"..r j't REQUIRED j},!..};':k•P' !:** .•
456-3604 .***.,i'tsi.+:.,:P:'.,i'k•
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