1991, 12-18 Permit: 91006366 Sewer w —- . ' w.
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT _ DATE
I
1
PROJECT NUMBER= 91006366 ISSUED PERMIT DATE- 12/18/91 PAGE= 01
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.r:s.IDDRESS= SPOKANE WA 99216
PERMIT. USE= SEWER CONNECTION .... WOLF R.ES e
*'3'3`: ::r1::.0:. NOTE t:. ***
PLATO= - :- arcPLAT 1SME- : ;MME ; ; i ? ? TO
% l " ?u -h ? PARK
LOT= 10 ZONE= AGRI DIET4= r:
AREA= 00000000 0
;A= F u _ ? i =
DEPTH= Fl x: =0
• OF BLDG: ,. 3 „ JUt ? ? • . - -: ' WATER
DIET ._.
OiWiNER:::: IERF t t Ey ; r•E J PHONE=
STREET=T = 1 3.wt.t:; I._ `},..: rl n 2::.
ADDRESS= SPOKANE 1.4A 99216
CONTACT NAME= ? 1...t.: f 1.s;..Ii ;H NE NUMBER':: `;>09 9: 7 16';
BUILDING SETBACKS :
?••t~_t_?FRONT= NA LEFT= NA FI '
i:; ... NA REAR= NA
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CONTRACTOR= TLC CONSTRUCTION P_ iNE .. 509 927
STREET= 13816 E 12TH AVE
. ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE ••} . n,. :j
SEWER CONNECTION 40.00
,••::•. : s:s:.. .::
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PAYMENT DATE .•.i.....:1....!.1'- . 1, PAYMENT AMOUNT
12/18/91 9533 50.00
TOTAL I AL r:i.??::= .00 TOTAL 1 AL 1:AEDt:::: 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
i E ~E rPERMIT 50.00 50.00 ..(::t;::t
50;,00 50a00 ,00
PROCESSED A:i Y : JULIE :.t t••?t•:; # t t»?
PRINTED
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: : tltEI ,.rIUr - A, .FU. ?
�r _1N iRMti ? ION IS AVAILABLEAT THE COUNTY
UTL? 1 ? 11 .. E- ?~ . "Ev! (456-3604)
CONTRACTOR OR APPLICANT IS To FIELD LOCATE AND CONFIRM THE:
AND
EL..EVATION AND PO:':-.i.1
IN f jr- �::.WY.::'t. STUB s . . ..i t.? TO ANY OTHER
1
EXCAVATION
' TO LOCATE BURIED CABLES,
- SLi : x?` PIPING, xA : LINES,
1NE_ , FC-
,
, CE _ t4 : __ tt0i.:AE.L .. 1::.1-k..t r1:. 14.;ti 4 . �:,� :
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THAT THEY ARE CLEAR AND UNOBSTRUCTED t 1 ii THE WE-i MAIN
INSPECTION MA S
itr3AMNJ * CALL " - FF ;2i � •( COVER nba3irit3
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. . **•*•*•'jt.j,.*.31:!'• .�`�¢ HOUR. .,t t: 1 1 t , .t. REQUIRED
1= 5{-3(..,y.*.3,3'.3l..jY.jE.
ikr Ni Fi•i•it•iti:p;•jf,•3¢ 456-3604 •R••*•It:•A:•k'•P:Jt:.'!•:'ti 3t.
tN tti : N ! ah .t {i1t *: : f : } : **** a: c YTHANK you : p: **. ;. : .s :i : {: g :* ;t *q : ***A : . ;
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