1991, 11-01 Permit: 91005693 Sewer 111.111111111.1111111.111111
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
1''Rt!At::E..: 1 1X17!y; i1::R»:: ?1 ! 05A9.. ..... ... . ... ..... ...t..!Et7 PERMIT I !%!'•TIL..= 11 /01 /9i PAGE= 01
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SITE STREET- 13106 E 8TH
A t:}t)ty,:E'•. .,, .. SPOKANE W rr•T 99216
PERMIT t i,': ',,.,, :.:!...WC:.1: CONNECTION .... 1:Ji,.tL 1" ••: E,y'T
PLAT PLATO= 002404 f.q NAME= ..i! :'}" ADD TO li!t.t E. J;a1A R E.1 PARK
B �:: ' SFR ......
v , x ••
0i..'!'" !,'it i11 "'..., .t DWELLINGS=i i'J( 't = WATER DIET
t i'1",.: JAMES PHONE=
STREET= 13106 E STH AVE
ADDRESS-... SPOKANE WA 99216
uoNTACT
NAME= GENE
! N1 . :JLEFT= RIGHT= - "1 N 1 ,+ j' . . i »
509 924 AiR7
BUILDING SETBACKS :' : • RN : Ni ' j �r ?; A4: NA:..r..
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a )t _.>!...1:.i.._�•_•' i'�::.I'......
CONTRACTOR= FORDE CONSTRUCTION PHONE= 509 924 6182
STREET= 9713 E 4TH AVE
ADDRESS=:::: ,iP }K(:1f•'i.; WA 9920,':',
ITEM t''1 DE,'.I..:R11.: ( .1.i.;1'•i QUANTITY I"E E AMOUNT
PROCESEING FEE 10.00
SEWER CONNECTION i 40,00
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11 !'`01 'c2 >) 50.00
i_:,•:•• a, 00 TOTAL
PERMIT i '{ 1"i:: ;..1::.€::. AMOUNT A1';t_!t..;l''%•i• PAID AMOUNT OWING
.c•`EWI:..i' PERMIT M I. 50.00 50.00 .,'.:)Ic)
PRuuLESLD BY : JULIE SHATTO
PRINTED BY : JULIE : i"A i 1 f,!
SEWER STUB AE—BUILT INFORMATION ...... AVAILABLE AT THE COUNTY
UTILITIES D 1::.r:{.:,)-t t !•t 1•;N•; (456-3604)
CONTRACTOR OR A..:{..t t t.A i-? 11.tFIELD LOCATE ANDCONFIRM THE
ELEVATION AND p:)t,, t ON ;),li::. STUB PRIOR .. A OTHER
EXCAVATION
1..:f VAT.!.i-!N
TO LOCATE BURIED CABLES, }.7 T } PIPING, WATER LINES, ECT :.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR ?•i,i CONNECTION TO INSURE
THAT 1 1"'lE { {''tl",1::, I:i...FAR AND UNOBSTRUCTED
) t , !B Rt -1 ! O H SEWER MA
I
S *) [ rrr' I CALL FOR INSPECTION PRIOR TO COVER tt ) r
*!i
:) :"e : :: i :
: k 4i :! } : x ' HOUR NOTICE
- r! f ,L , . it
456-3604 : i ) } 1j
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i}:'':'.!:')}:i :y}..;,i}: �.:fi r}...1,•.-+...y,.,yy.*.v..,}..{..}f.,.,v.,}}..},.},.,}}• } !. !. THANK
'A N`S. ..i!„ :
t i 1 3 ..
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