1991, 12-18 Permit: 91006267 Sewer +
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
VK1303BROADWAY AVENUE
/ �POKA0E.WASHINGTON 992G0
(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 om processing. In addition, I have read u understandmo /wopsoT/owneou/nsMswTuwOT/os
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= 91006267 ISSUED PERMIT DATE= 12/18/91 PAGE= Al
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13310 E 6TH AVE PARCEL�= 22541 -�8O7
ADDRESS= SPOKANE WA 99216 �- � - - � ,- �
- ` _
PERMIT USE= SEWER CONNECTION - ULID 903
*** SEE NOTE ***
PLAT0= 001050 PLAT NAME= GRAY 1ST ADD REPLAT
BLOCK= i LOT= 7 ZONE= AG%UB DI%T4= F
AREA= 00000008 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= I WATER DIST = - - -
_
OWNER= C %TELLANO SUSAN PHONE= .
6
STREET= 13310 E 6T.. AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
__
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEF AMOUNT
------------------------- -------- ----------
PROCESSING FEE y 10 .00
SEWER CONNECTION i 4O.00
�
******************************* PAYMENT SUMMARY **************************** '
PAYMENT DATE RECEIPT4 PAYmENT AMOUNT
12/18/91 9533 50, 00^ I
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT 50.80 5O.00 .c.,O
------------- ------------ -------------
50.00 50. O0 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB ASBUILT INFORMATION IS AVAILABLE AT THE COUNT;
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x UTILITIE% 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 (45"-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N UNOBSTRUCTED TO THE SEWERMAIN
********* CALL -FOR INSPECTION PInR TO COVER **********
********* 2� HOUR R��U��ED ********** '
` � NOTICE � �
********* - - �456-3603 - **********
******************************** THANK YOU *********************************
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