1991, 09-30 Permit: 91006331 Sewer SPOKANE c0~ '1•LIEPARTMENT 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 uuu/ I have read and 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 =visions 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. (7,
SIGNATURE OF
APPLICATION Yg0/9/
OWNER OR AGENT .--.6%)-Ge/ DATE
PROJECT NUMBER= 91006331 I%%UED PERMIT DATE= 09/30/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE
STREET= 13604 E 6TH AVE PARCEL4= 22541 -0713
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - ULID 903
*** SEE NOTE ***
PLAT4= 001669 PLAT NAME= MGORE ' % SURBURBAN HOMES ADD
BLOCK= LOT= i ZONE= AGRI DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= P E DAVID MARGARET PHONE= 509 924 6346
%TREET= i36O4 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DAVID PENNIE PHONE NUMBER= 509 924 6346
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
09/30/91 7041 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 .00 .O0
------------- ------------
50, 00 50.00 5O.00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
TILITIE% DEPARTMENT (456-36O4 )
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 **********
********* 456-3604 **********
******************************** THANK YOU *********************************