1991, 09-05 Permit App: 91005538 SewerSPOKANE 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= 91 005538 APPLICATION
DATE= 09/05/91 PAGE= t) i
•R*P'll** THIS IS NOTA PERMIT ******
PENALTIES WILL. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13112 E 7TH AVE PARCEL..:„::::: 72541 ••_i 1 i S
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION •-• UL.ID 903
*3** SEE NOTE .A * .
PLAT:= 000278 PLAT NAME=:: EURCHELL.. i ST ADD.
BLOCK= i LOT= t:, ZONE= AGRI DIST::::: F
AREA= 000000O0 F/A= F WIDTH= DEPTF•I:::: R:•W=
OF BL..D(S::= i 0 DWELLINGS= i WATER DIST =
OWNER= FOUL..ON , MAX
STREET= 13112 E 7TH AVE
ADDRESS= SPOKANE WA 9921 6
PHONE=
CONTACT NAME= LEONARD ..•. 1.1 & S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR-: CdA
* ac •x• * * x tt tt x x ii x * A• * *• • * * ;r• 5e * * * * * * • SEWER PERMIT .M •Il• 3k •yl $F * ii k• 3i }{ •}l• ii• Pt• •b •jl •x •M R •h ri ;( •)l •ii ii 9{• •i4 •!k ll• •)t it
CONTRACTOR- H & S CONSTRUCTION
STREET- 11817 E VAL..LEYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE:::: 509 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE:: FEE:: AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAIL._ABI...I::: AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND 1 OEITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BUR1:EI) CABLES, GAS PIPING, WATER LINES, ECT..
CALL. BEFORE YOU DIC (456--8000)
SEWER STUBS ARE: TO BE C:F•IECKE:I) F`R1:Ofi TO CONNECTION .TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SE=WER MAIN
**** *** CALL FOR INSPECTION PRIOR TO COVER ** • • •***:*
***** • 24 HOUR NOTICE REQUIRED )rieii • •ie#ii•itir
ii # ii * •k ii h: K• •k• 456-3604 ..yt. vi yt.:M..)4 * •ir * *
•riii*ii• ***#***it*#****•k•**)Eiiri** **.h.* THANK YOU *•• • • •***x*x•****• *• • • h: •*JLyk**It**R•