1991, 08-28 Permit: 91005396 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, oras a warranty of conformance with the provisions of any state or local
laws regulating constructi
SIGNATURE OF . APPLICATION
OWNER OR AGENT ,� -- ,S ��/. -�'1�� DATE
PROJECT NUMBER= 91005396 ISSUED PERMIT DATE= 08/28/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13511 E 5TH AVE PARCEL;:= 22544-0109
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - DRY LINE ONLY
*** SEE NOTE ***
PLAT= 001670 PLAT NAME= MOORE'S PARK SUB.TR.154,VERA
BLOCK= 1 LOT= 9 ZONE= UR -3.5 DIST4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGS= 1 0 DWELLINGS= 5 WATER DIST = VERA
OWNER= BENEDICT C D PHONE=
STREET= 13511 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= MTN WEST MECHANICAL PHONE NUMBER= 509 928 2471
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= MOUNTAIN WEST MECHANICAL_
STREET= 9116 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PHONE= 509 928 2471
QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 4 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/28/91 6118 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAI.I) AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
50.00 .00
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
******** CALLCFORRINSPECTOIONTPFIORDTOOCOVERSEWER
**********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************