1991, 12-27 Permit: 91005773 Sewer -^- ' - - - -' --- -
SPOKANE COUNTYDEPARTMENTOF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/uomfvmot/huvooxummoum/ovmm/vunnnvanon.umtemutmomm,mvoonvontum°umnunuavum/«ouuvmeon"vagenuovomnovoumpermit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIonos
provisions included herein and agree to comply with same.All provisions of laws and ordinances governingmis type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/aplication and any moou�omOccupancy�u not»oonn�moom
o�nuumomvmv/v/mau,ounvonhovmmo/onomany ommor/mm/law mou/mm��on�ru��|�� ������������'c��mnmoncewnm�omany om�v,/mm/
/�omnumnnnvonmmonon. ' provisions
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
• PROJECT NUMBER= 91805773 ISSUED PERMIT DATE= 12/27/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13509 E 4TH AVE PARCEL4= 22541 -1605
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - ULID 903
*** SEE NOTE ***
PL T = 001 436 PLAT NAME= LEATHA LANE ADD
BLOCK= 2 LOT= 5 ZONE= AGRI DI%T4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= KLEPINGER PHONE=
STREET= 13509 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40^OO
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/27/91 9683 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
- -- --
SEWER PERMIT 50.00 50.00 .00
--
50.00 50.00 5O.0O .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-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
THAT THEY ARE CLEAR AND N ST B TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************