1991, 12-18 Permit: 91004884 Sewer 41110m*MW =�11,°�°10.
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 correctand authorize Spokane Conty to proceed with processing. In addition, I have read u understandm 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= 91O04884 ISSUED PERMIT DATE= 12/18/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13324 E 6TH AVE PARCEL4= 22541 -0805
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - DRY LINE ONLY
*** SEE NOTE ***
PL T4= 001050 PLAT NAME= GRAY 1ST ADD REPLAT
BLOCK= i LOT= 5 ZONE= AG%UB DI%T0=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= KIRBY, HESTER PHONE=
TREET= i3324 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC PHONE NUMBER= 59 927 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 . ' - -
------------------------- -------- ----------
PROCESSING FEE y 10 .00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:0 PAYMENT AMOUNT
12/i8/91 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 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-GUILT 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
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK yOU *********************************