1991, 12-18 Permit: 91005255 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
: ; ? :ia NUMBER 91005255
: ?J ?; ? i _ !1 . PERMIT D ? : , 12/-10/91 'Fv F_
O
._RN.1T . NF OR,y..
i4'l+i�tt•iL•Jh J�•N:Mt•tt•tt 3t•9`:•^•.>;)L iR•i4•)i•17)k Y'•i!.H•!+.!•:'+t•!{..}:•1 !"'�:..i••.!+.i. + .E l''$�•t,.l�:.!!1.9 ! .i:!.::i!''•i 1'i 1S•9ti iE ti$*1`•1;•1L•1L fL•9!'**i"i+k.N.:t :?i-iR•N'it'i i++i i+r i+t i++i*1>.-
' iCSTREET= ! x 1 /_ t9TH
H .
" , ' „ : " ;._, _ 22544-0023
ADDRESS= SPOKANE
WA 99216
PERMIT USE=• _. •W R CONNECTION DRY LINE ONLY
*tr t ,`:•1::.1::. NO ! l::. isu:•r:
PLATO=.,,._« 00n.404 PLAT NAME= S!..!!!MER ' S ADD TO wOODWARAD PARK
BLOCK= LOT= r ZONE= i..1rvt4'.N D1., I .,,..._
AREA= 00000000 a /A= !.. WIDTH= DEPTH= R/W= 50
•t,' OF Bi. {!G,_:,.... 6 DWELLINGS= 's ua,.:t;•I"?•:: ?:?.i.�.. i- ....
OWNER= STACK , ,'r-'?l•.!l.:.:.k PHONE= 509 7` >7::`.6 7395
STREET= 13105 E 9TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT !''!.•aMl::.= TI...0 _ ,1....11:: ....! ! , A. . .
BUILDING .- t A t.:!4•.S : LEFT= NA
•t+i 7+i 3+i'.!.A:.)tPr-Pi i++'r:t+:i'+r 3+i*Pr:+i':+r'+i i+r'Pi 9+i 4{.:t;..ai:+1 3+r•Pr'f+r't?•'A: ::'.•1::.!h}t::.l' !"_l::.R r'?i, ! igi s+i§+i''r.'•a::r n..y,:.tt..a..n:ih n:'i+:74•it:x••'tf.:?i.:ri*.ie.*.iti*yi..a:*.it..h:.
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760 -. -
STREET= 13816 E 12TH AVE
ADDRESS= SPOK ANE WA 99216
6
ITEM
1 ' " lES» RI TION QUANTITY 'C : AMOUNT
PRoCFsTING FEE , 10. 00
SEWER :t ` ? "k «t:. t _ ' 40 ,00
a•b•?!::%+:'!k•K'1+:t+;)k'?{)k'?+r'J4'1+r'1+i Yi•'Y"'Pi*)+i•ft•:+i•k• ?••Pr:n::C 9k•P:•?k;h i••a.T{+t t;,t*i I gummARy 'Pi +i:n:.?}..R..P:•N dk 94':k it?R.`t•'A:'F:7}.:4.i>t;9t•p;;n•pr•?r,9ti-?+.•;n;9k•p.•
PAYMENT {?A ! '... l•4.l::.!..:!:: .I.l- t •+ PAYMENT f• t'lOt.?iti! 3
12/18/91 8r 11 `3'S$..5 50.00
l'_
1O ! A1... DIIE:::: :.+::! :? TOTAL F;.:!I,+:::: 50„00
!'i::.E'MIT TYPE FEE ANOUN I A!''OUN ! PAID AMOUNT OW,-N!,.
•-
SEWER PERMIT 50,?.:10 50.00 .00
•
50..0 50.00 0 ..00
PROCESSED BY : JULIE i'-I A i T O
PRINTED z : DON; 1 E OtI " j? ROBIN
SEWER STUB UB A�� al.t:l.I _!. INFORMATION IS AVAILABLE .3«i. THE 't.;(: i..?!'t. .
3.+t...+'H i .I+.«l''!. i . .... 4 5 "......FP4 )
CONTRACTOR1+!'�t� . ! OR
APPLICANT
! `" { Cr `w
:` .TO : 1E1 % LOCATE AND CONFIRM THE
r " %.; F i= {
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t O L E t.::i t E:. ::t i Ei E:.T.) ( ;'`?�:;L. :., f-L:? :: .i._ .!.i'v i", iA A_..E R ....I N I::',` r `... .
ti!._i_. " tF:r' " U t". t 4i>,,::•....r:i':j'::0) .
TO
SEWERSTUBS "•'R; BE CHECKED C:: D R O c TO CONNECTION TO INSURE
THAT A i ! HE-.Y r•+?'•'.E:: {..:l...l.:.r.:,R.. AND UNOBSTRUCTED TO THE ii::. s;f: If'1...1{ MAIN
; ;3 * z }iraCALL FORYINSPECTION 7 TO COVER nif hi iin n*
{ *j(.ji**Y.••J •* 24 HOUR NOTICE REQUIRED R*?!•i?•)t•T•4`.
•i7i.�..��.j,.*.fij.* 456-3604 v u .�.R....at
7$
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