1991, 11-13 Permit: 91003555 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
r.--•PRGJEC-T -NUMBER=--9FOA>3555-,-z- .-.-. I,SSLIE PERMITr-ri----DATE= 11713/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12802 E 4TH AVE PARCEL#= 22542-1016
ADDRESS= SPOKANE WA 99206
PERNIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 001840 PLAT NAME= OPP.TR. 1-354
BLOCK= LOT= ZONE= AGSUB DIST3= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 0 DWELLINGS= 1 WATER DIST
OWNER= LEWIS, GENE PHONE=
STREET= 12802 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS: FONT= NA LEFT= NA RIGHT= NA REAR= NA
-- ***************************** SEWER PERNIT ******************************
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 141562
-ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT
Y
1
10.00
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
11/13/91 8633 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00
50.00
50.00 .00
50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
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
*HA**THEY
CALL FORRINSPECTOIONTPRIORDTO COVERS**********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************