1991, 11-04 Permit: 91005538 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l have examined thls perm it/application, statethatthelnformatlon contained In Itandsubmitted by moor my agent to compilesaid permit/applicatlon istrue
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. l understand that the issuanceotthls permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
giveauthoritytovioiate or cancel theprovisions of any state or local law regulating construction. oras a warranty of conformance withthe provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005538 ISSUED PERMIT DATE= 11/04/91 PAGE 01
AANNWARAi£****Ki£te************ PERMIT INFORMATION *****************4
SITE STREET== 13112 E 7TH AVE.
ADDRESS== SPOKANE WA 99216
PERMIT USE= .SEWER CONNECTION — ULID 903
*** SEE. NOTE ***
PLATO= 000276 PLAT NAME= BURCHELL 1ST ADD.
BLOCK= 1 LOT= 6 ZONE= AGR:[ DIET4= F
AREA= 00000000 F/A= F WIDTH== DEPTH= R/ W=
Or BL.DGS== 1 r DWELLINGS= 1 WATEA DIST =_
PARCEL0 - 22541--111 i
OWNER= FFOULON, MAX
STREET= 13112 E. 7TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD -- H & S
BUILDING SETBACKS: FRONT=== NA LEFT== NA
***********K***************** SEWER PERMIT
CONTRACTOR= H & S CONST:UCTION
STREET= 11817 E VAL.EYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE=
PHONE: NUMBER= 509 926 8964
HT= NA REAR= NA
**************i£*i£*K#KKK****iHH£
PHONE= 509 926 6964
ITEi:M DESCRIPTION QUANT 1 TY FEE AMOUNT
PROCESSING FEE Y __
SEWER CONNECTION
****************************.*..XX PAYMENT SUMMARY *****I£
PAYMENT DATE
11/04/91
TOTAL DUE==
PERMIT TYPE
W E:R E-'EEfi MIT
PROCESSED
PRINTED
BY
13Y :
10.00
40.00
RECEIPT: PAYMENT AMOUNT
8264 50.00
.00 TOTAL PAID= 50.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
50.00 50.00 .00
,ll.El_ZE SiHATTO
.aUL:[E SHAT TO
50.00 50.00 .00
SEWER STUB AS—BUILT INFORMATION ]:S' AVAILABLE AT THE COUNTY
L]TILITCES DEPARTMENT (456--33604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVAT[ON AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WATER LINES, ECT,
CALL_ BEFORE YOU DIG (4563-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSUJRE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
MAR**a£**N CALL. FOR INSPECTION PRIOR TO COVE:Fi **1i*)£*****
********* 24 HOUR NOTICE REQUIRED ***1£***.*.*h£
********* 456-3604 K*********
******A************£************ THANK YOU )G )) f*iH£%**;ph£*********dti-F£.*.}HisfaffA**