1991, 12-18 Permit: 91004883 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 permit/applicationis true
and correct, and authorize Spokane County to mcoou with processing. In additionI 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= 91004883 ISSUED PERMIT DATE= 12/18/91 PAGE= Oi
*** ************************ PERMIT INFORMATION ****************************
E %TREET= 133i8 E 6TH AVE PARCFLt= 22541 -0806
DDRE%%= %POKANE WA 99216
PERMIT USE= SEWER CONNECTION - DRY LINE ONLY ' '
*** SEE NOTE ***
PLAT4= 001050 PLAT NAME= GRAY i %T ADD REPLAT
BLOCK= i LOT= 6 ZONE= AG%UB DI%T4=
AREA= 000O00O0 F/A= F WIDTH= • DEPTH= R/W=
0 OF BLDG%= i 4 DWELLING%= i WATER DI%T =
OWNER= COOK JAMES PHONE=
S'TREE 133i8 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE •
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- --•--------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMHARy ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/18/91 9533 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50.00 50 ,00 50 .0O .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUD 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 INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*** *********************** **** THANK YOU *********************************