1991, 11-07 Permit: 91005856 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 permiVapplication 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= 91005856
ISSUED PERMIT DATE= 11/07/9i PAGE= Oi
$s)E*3E*3e3e**3e****-e%)e*.*.*.*•X•*.)(•)e*) PERMIT INFORMATION •e**>e4e**)e*)e*•Ji******
SITE STREET= 13304 E 5TH AVE:.
ADDRESS== SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION —• ULID 903
)e** SEE NOTE *3r*
PLATO= 001051 PLAT NAME= GRAY ADI)
BLOCK= 1 LOTS= 7 ZONE= AGRI
AREA= 00000000 F/A= F WIDTH= 90
Or BLDGS= 1 0 DWELLINGS= 1 WATER DIST
PARCEL..= 22541-0507
OWNER= I3RAZ.INGTON, NANCY
STREET== 13304 E 5TH AVE
ADDRESS= SPOKANE:: WA 99216
PHONE==
D1 STO::=
DEPTH=
141
CONTACT NAME=: LEONARD PHONE NUMBER= 509 926
BUILDING SETBACKS: FRONT== NA LEFT= NA RIGHT== NA REAR= NA
*****3(•* i**.h.*.k.*.a.4#..*ii.**..*.1e ie*)E.h..**3e ,SEWER PERMIT rrt*.) .) *3e'iF****3****ii)E*.M• h.)i.*
W __
0964
CONTRACTOR= H h S CONSTRUCTION
STREET= 11817 E:: VAi1 [ 'r WAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
1' 10.00
i 40.00
)e**3E***)e*.)i.*.*.*..1i.*.*.*.**.***.*.)i)E**.***3E PAYMENT SUMMARY *********K***.p).******h:)e*)ex *..*
PAYMENT DATE RECEIPT•".• PAYMENT AMOUNT
11/07/91 8264 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 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STIJB AS—BUILT INFORMATION IS AVAILABLE:: AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEL..I) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF ,SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIE::D CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456--6000)
SEWER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*******)e* CALL.. FOR INSPECTION PRIOR TO COVER *'1e*******»
)E)e)E*)e)ex)t) 24 HOUR NOTICE- REQUIRED **)e***)E**)E
**)E****** 456•'••3604 *****re****
*)e**)E****'**)E)e**)e)e**tie***)('***)E*)E* THANK YOU )i**)e)ex***
)eo e)e*)E**eHe)e)(h:)ElE**)(***)e