1991, 05-10 Permit: 91002499 Sewer SPOKANE COUNTY F :PARTMENT OF BUILDINGS
W.1303 Bit.OADWAY 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 1U� �,�c.� APPLICATION
1•
OWNER OR AGENT .•. • _r_(rrvv�v�`__! DATE
PROJECT NUMBER= 91002499 ISSUED PERMIT DATE= 05/10/91 PAGE= 01
**************** ********** F:`ERMIT INFORMATION ************** ********** *
SITE STREET= 13405 E 7TH AVE PARCEL_I 22541 -0827
ADDRESS= SPOKANE WA 992216
PERMIT USE= SEWER CONNECTION / GRAY i ST.. REPLAT
*** SEE NOTE ***
PLATO= 001 050 PLAT NAME= GRAY i ST ADD REPLAT
BLOCK= i LOT= 15 ZONE= AGRI DIST aµ F"
AREA= F/A= WIDTH= DEPTH= Fri W-: 50
4 OF BLDGS= 4 DWELLINGS= i WATER DIST =
OWNER= MONTGOMERY, R. M. PHONE= 509 928 0 595
STREET= 13405 E 7TH AVE
ADDRESS= SPOKANE WA 992216
CONTACT NAME= R. M. MONTGOMERY PHONE. NUMBER= 509 928 0595
BUILDING SETBACKS : FRONT=:: NA LEFT-- NA RIGHT== NA REAR= NA
*********** *x***** **** * * SEWER PERMIT ******xxx#***** ;aux***n*x#**u*
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE t' 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:„ PAYMENT AMOUNT
05/10/91 2 785 50.00
TOTAL DUE= 00 TOTAL PAID::: 50.00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE. COUNTY
UTILITIES DEPARTMENT (456- 3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI> CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, CTAS 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
********* CAI...L.. FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
******** 456-3604 **********
******************************** THANK YOU *********************************