1991, 11-25 Permit: 91008165 Sewer 4
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
OWNER OR GENT Zta" /_ i / Z� �- DATEAPPLICATION #75—_____y/
j
", rT NUMBER= 9•i ; i; ^ } ISSUED
: S ", JEi { - DATE= 11 /25/91 ••,nt{ t"•'• .r''i
.................................................. ......
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SITE STREET= 13120 I:: 4TH AVE PARCEL:;;::.. 22541 -9056
ADDRESS= Si-'ORr''tNE. WA 992t 6
PERMIT USE= SEWER CONNECTION .... ULID 03 .:;,91 '• %'`0
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(.+#-14= 79arr9 PLAT NAME= „ F3rr
BLOCK= LOT= ZONE= AGRI
a
AREA= 00000000 r• /A= !.. WIDTH= 1 0 DEPTH= 150 t,f L.i..= 40
[ OF : 1( , = t tDWELLINGS= # WATER - iE - .
OWNER= MANCHESTER, ROBERT { PHONE= 509 924 8020
STREET= .13120 E 4TH AVE
ADDRESS= SPOKANE WA 99216
4
CONTACT( NA!rMf-. f"# PLUS S .I Cid,{'`-i tiI.?1 i i.t.iIt PHONE NUMBER= �:t `i% '`,>'... ' °'. ;to
BUILDING SETBACKS : FRONT= NA LEFT=:»: f A RIGHT== NA ti.EAI»•i= NA
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CONTRACTOR= r: PLUS?S I.•+{fw�• t l: .... t .t.t,t t`,; PHONE= 509 ........ 4594
STREET=EE:.'(= 1'O BOX 141557
,
ADDRESS= SPOKANE WA 99214
ITEM EM t)ESCRa.t" ION QUANTITY F:'EE AMOUNT
t
---------
PROCESSING 10 .00
1 C:_.!:: T
:'.EWER CONNECTION 1 40,00
itt•'i't*'ii•Pi tnr'Pi Y'i}i 3G'JR••tt••iC•*'Yi•Pi'Hr $•i}i i}k*',,i•Ai$li.j{..p::Fi'Ai•ii•*•J`i {•'A 7{"t E li?I _`,I.j m i't r i I•+.``'t i!?•**•Pi•Pi*'ili iti in:$}i•i?••N'•!i:•h:•'1!•P:*i++..ie,•i}li i}ti is**titY ii:Pr:1F.
PAYMENT DATE t":t::.Ct::. !,F' t :y: PAYMENT AMOUNT
11 /25/91
-5^_: /C;- _ 9 . 50 .00.. tt, t:•
TOTAL t AL 1..Ut::.= ,00 TOTAL t A {.'A { i,i= 50,00
• +' Rt is i TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
•
{ER :ti :IT 50
50,00 50,00
0
PROCESSED BY : JULIE SHATTO
PRINTED BY : jULIE SHATTO
SEWER STU B AS-BUILT .i. r-O i- M q- ,i. i N ?:,.. AVAILABLE - ECOUNTY
f
UTILITIES DE 'A+ i MEN i. (456-3604)
CONTRACTOR OR AF::PL.I.t:ANT IS TO FIELD::LD i...00:ATE AND CONFIRM THE
ELEVATION AND POSITION « SEWER "
U: PRIOR 't.? ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , 'r f•�{, PIPING, WATER LINES, ECT„
l.:f•ti...I... 1:{i::.1"1.1I":!::. you 1: :r f:.t•:....i:.
SEWER ,T +- : ARE TO BE CHECKED PRIOR
CONNECTION TO 3•N S!iF'rl..
THAT, t t'•{E:.Y ARE. CLEAR AND N+_!...S t RUt.: t ED ,`• ::.tut: MAIN
tt.? tt"I::.
.J,.•p•i!.u•!!..J1..fI:il:9}:
t FtF INSPECTION PRIOR ^ rCOVER
C + - **ri nn***; x
CR4717tRA : 4 HOUR NOTICE REQUIRED
311.:}!'){'}£':R'4L'*R'i}i
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