1991, 09-10 Permit App: 91005625 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- APPLICATION 09/10/91 1 . ...._..
.?...p!.*.),..i;..!:. THIS I •a t. "COMMENCING('[ P :.#'':M i ?+:•j7 1` ..F:F:
................................................................................................................................................................................................................................................................................................................
E (REEI = 13521 E /111 AVE PARCELO- 22541 -0721
-ADDRESS= SPOKANE WA 992216
PERMIT USE- SEWER CONNECTION — ULID 903
PLATO= ::: ":6`:: PLAT NAME=.._ i"IOi._ie`.`;•• ' '>1 1 1al-,'.';`,:•i:!`••) HOMES .!D'_.:
(•'i 1'`•.!...;-t.... 00000000 S. is}{:::: F WIDTH= DEPTH-:::: . ..i.'/L. ::: ...
!}. 1..!#'• BLDG:,..... ='' DWELLINGS- 1 WATER DIST
OWNER= SMITH PHONE=
STREET- 13521 E ( iH AVE
ADDRESS- SPOKANE WA 992216
CONTACT Pd:-,ayi..-- TOM i:`: ''7 :' EXCAVATING PHONE j.. B;:. , 509 99:3 1515
SETBACKS :BUILDING
...-. .. t. :.:.... :)..•.:.. fl. '? d.•)?•it[r i!i Pr)&•j!r'?t.• !r ar k:!i :.7::I:.I.. ,`1`'1' '.('
STREEI - Hu BOX 14154
ADDRESS= SPOKANE WA 99214
ITEM Dr-:=RTPTInN QUANTITY FEE AMOUNT
PROCESSING FEEr: 10 , 00
SEWER CONNECTION A
40. 00
PERMIT t i P#::. F i::.#:'. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 ,00 ,00 50 ,00
50,00 ,00 50 ,00
PROCESSED BY : ;t }
PRINTED BY : jULTE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR 1 1 ...R APPLICANT IS_TO FIELD LOCATE
ELEVATION AND POSITION OF SEWER STOB PRIOR TO ANY OTHER
EXCAVATION
; 1J i ... ` i•• BURIED cABLES, GAS PIFING , WATER LINES , ECT ,
CALL BEFORE YOU DIG ( 456-a000)
EEWER ETUBE ARE TO BE CHECKED PRIOR TO DI':.;7 1 `+7 1 INgURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
:}j. ).:!t;:tl•:,5• * CALL INSPECTION TO COVER
4 i•' i INOTICE :ti._i.'•.,.:!i.:?}.:?j.:t}.:?i.:?i.::i.
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:;:.:,j.:k 1j.:}i.:,:. :}i. !j.:}j.:}:.:}i.:}j.:, g:K:ti.:, THANK YOU :aj.:!j.:tj.:tj..jj.:!.:}j.:}i.:yj.:}j.:},'.:}j.:}j.:,'.:}j.:}j. .)i.:}j.:,'.:}i.:}i.:ti. :tj.::