1991, 11-07 Permit: 91005943 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 thls 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 construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER=:: 91 005943 ISSUED PERMIT
**3*3*#3*3134343E 3E 31* 343(•34
DATE= 11/07 /91
PAGF= Oi
343E34343E3E PERMIT INFORMATION**)**'3031**1('**3'*3**)1*X*')1*
SITE STREET=: 13616 E 5TH AVE:
ADDRESS= SPOKANE WA 99206
PERMIT USE== SEWER CONNECTION — UL.ID 903
34313E SEE NOTE 343('3('
PLATO= 001 669 PLAT NAME:= MOORE::' S ,SIJRE+LIRE AN HOMES ADD
BLOCK= 2 LOT'::: 1 ZONE= AGSUB DIST:»::=
AREA= 00000000 F/A= F WIDTH=_ DEPTH=::
1'
OF BLDGS== i :» DWELLINGS= i WATER R DIST ::_
"- 22544-0423
F'AFiC.EI...,r—
R/W=.
313*3E#3E
OWNER= SPOREHAUS DON PHONE=
STREET= 13618 E 5TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LE::ONARD PHONE: NLUMBER:= 509 924 3964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT=: NA REAR= NA
3r3('3(•34#343f3(..k.*3('.u•.A'#*3(•:n'3('3('3('.k'.*x3(•3e3('*'Hi(• SEWER PERMIT 3(A'3F3('3F3('343(>i3I313('.A'3(•3(•'M'.It'31'3{'3(H3f31'3i'3t' 3k3('3FA'
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS=:: SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
SEWER CONNECTION
PHONE= 509 926 8964
FEE AMOUNT
10.,00
40.00
*lea('3('3('.h'3('3('3e3e********************* PAYMENT SUMMARY 3434 i('343**r4-*3k** 3E.h•3'34.u'3i'36.3E3eri#34
PAYMENT DATE RE_CEIPT:» PAYMENT AMOUNT
i 1/07/9i 8264 C0.00
TOTAL DUE== .00 TOTAL F'AID:° 50.00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 O
50.00 50.00 00
PROCESSED BY: JULIE ,SHATTO
PRINTED Ii(Y: JULIE SHATTO
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE:: AND CONFIRM T.iF
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
3E 3434#343434,(3(' CAI_.I... FOR INSPECTION PRIOR TO COVER 34#3('3E#3(k34#3('
'ri#34#3434#343(' 24 HOUR NOTICE REQUIRED 3('3E3r3e#i()E#3('34
3(h1('3431 iiS(x'* 456-3604
*******4 3*-x3f THANK YOU •x'3("li'3('3(313('3('343.3('34'334 31 34 31*31)134ri1111343434343('34*3F34