1991, 12-18 Permit: 91008584 SewerSPOKANE 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91 008 584
ISSUED PERMIT DATE= 12/10/91 PAGE= Oi
*********3E3i3E**)He*•***)e****x* PERMIT INFORMATION 3E3e****Xie e**3i***%******* 343*
SITE STREET== 13223 E 5TH AVE PARCEL..v== 22541-9066
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE •- (91--,5138)
*#* SEE NOTE 3i.3;..h.
PLATS= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI DI,ST4=
AREA= F -"/A= F WIDTH= DEPTH=
OF BL_DGS= 1 e DWELLINGS= 1 WATER DIST =_
OWNER= AL_TVATE:R S M
STREET= 1:3223 E 5TH AVE
ADDRE:,SS= SPOKANE WA 992.16
CONTACT NAME:= TLC CONSTRUCTION
BUILDING SETBACKS: FRONT== N/A L_EFT:::: N/A
3E**3itt•3E3E*3E3E3***3i3E3E3E3E3E3e3E3c3E3E3c3{•3E•x• SEWER PE::RMI1
CONTRACTOR== TLC CONSTRUCTION
STREET= 13016 E 1 2TH AVE
ADDRESS= SPOKANE. WA 99216
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
P1-10NE:
R/W= 50
PHONE NUMBER= 509 927 6760
RIGHT== N/A REAR= N/A
**************K***************
PHONE= 509 927 6760
QUANTITY FEE AMOUNT
Y 10.00
40.00
******************************K PAYMENT SUMMARY 3c363t363r3Eu3eacu..tt..tt.3631•3e363e363<• *****K***
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/10/91 9533 50.00
TOTAL DUE== .00 TOTAL PAID== 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAII) AMOUNT OWING
SEWER PERIMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELI) 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 UNOBSTRUCTED TO THE SEWER MAIN
X M363E363E36h• CALL.. FOR INSPECTION PRIOR TO COVER 3631363i•****kU
3Ex*3E3E3E*** 24 HOLiR NOTICE REQUIRED ***#3 ***k3E
* . *3i.... 3E.... 456--3604 biit•3E3i*****3E
*****3E363E3i*3E iE 3E 3in3E3E3E3rrE9E3r3E#3r#3v3E3e4e*3r THANK YOU 3i..h.Ji**3i***3r3E****)e*3i*********X*•»***