1991, 10-02 Permit: 91005319 Sewer SPOKANE 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= 91005319 IEEUED PERMIT DATE= 10/02/91 EA7=
PERMIT INFORMATION
PERMIT :'tom..
EEWER CONNECTION — 0001
AREA= 00000000 F/A= E WIDTH=
n •j.
WATER
OWNER= BYE PHONE=
ETREET= 12126 E 6TH AVE
ADDREEE= EPOKANE WA 99206
nnTArT iFnApn PHONE NUMBER= 50?
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAP= NA
S.:PAVANF WA 9920A
ITEM DEECRIPTION QUANTITY FEE AMftiNT
EEWER CONNECTION1-EL 10 , 00• TI:: PAYMENT AMnHT
10/02791
a:-
..i i•'-i i AMOUNT
..
__ t --i i
AMOUNT:: :.
•
EEWER PERMIT 50 , 00 . 00
JULIE
ERINTED BY : JULIE EHATTO
,
UTTLITIEE DEPARTMENT (456-3604 )
ELEVATION AND POEITION EEWER STUB PRIOR TO OTHER
EXCAVATION
CALI BEFORE YOU DIG
THA'T THEY ARE CLEAR AND UNOBSTRUCTED TO THE EEWER 'ffiATN
.. .. .. .. .. .. .. ..
24 HOUR NO7TCE RERUTRED
456-7604