1992, 01-23 Permit: 91007782 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= 91007782 ISSUED PERMIT DATE= 01 /23/92 PAGE= 0i
**************************** PERMIT INFORMATION ****************************
F'ARCEL4= 22541 -0717
SITE STREET= 13504 E 6TH AVE. -
ADDRESS= SPOKANE WA 99216
PERMSEE
ITUSE=
=OSETEWER --CONNECTION 0903 SOUTH BLAKE (91 —S34)
**
PL..AT4= 001669 PLAT NAME= MOORE. ' S SURBURBAN HOMES ADD
BLOCK= 3 LOT= 5 ZONE= AGRI DISTO=
AREA= 00000000 DWELLINGS=
F 1 WIDTH= 90
90ST DEPTH= 140 R/W= 50
4 OF BLDGS= i
OWNER= SALE, CLYDE PHONE= 509 924 1936
STREET= 13504 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= T L C CONSTRUCTION
PHONE NUMBER= 909 927 6760
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 92.7 6760
STREET= 1 381 6 E 1 2TH AVE
ADDRESS= SPOKANE WA 99256
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
01 /23/92 460 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID _AMOUNT_____
G
SEWER PERMIT 50.00 50.00 .00
50.00 _.._._ 50.00 _._.._..__...____ .00
PROCESSED Y DOMITROVICH, ROBIN
IN t : OH
SEWER STUB 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 (450-8000)
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 **********
456-3604 tits! •**skit.*****
******************************** THANK YOU *********************************