1991, 10-01 Permit App: 91006366 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
r•1. 1• I Ni; j..: if APPLICATION DAT!::' .. 10/01 /91 PAGE=_.. • .-
PENALTIES WILL BE ASSESSED FOR COMMENCING i;.f(,1?'`'.?•. WITHOUT Hi ii I..' i} PERMIT
ADDRESS- SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .... WOLFCREET
PLAT4= 002404 PLAT NAME= SOMMER ' S ADD TO WOODWARD PARK
LOT= 10 ZONE= AGRI DIET0-
'}r 1,t{• BLDG:.::::: l it DWELLINGS= WATER DIET:.. ....
H
,.OWNER- SHERETTE,
PHONE-
STREET.... AVE203 E 9TH
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC PHONE NomBER= 9*,!. ? 6 /60
min '' .Nt.r ,.:#::. { !'t #t..:!...•' FRONT= NA LEFT—... NA RIGHT= !`JA REAR- N,_+.
dj..-i.} y: A s,:.:;rP . ; {..: : : sj ( j : : (P . . SEWER pERwIT 1 .. ? k.. ; ... .. .*.:;t ;un .. .. ..P . P
•..:;t._ i F: ,._i.: i c;R.... .,_, i...t., N•:, l ?..Ji......j.I Olt'° PHONE=?.NE-. -,^!+:;i 927 6760
STREET= -13016 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM M t?E:.:-t_:RI{.: { t,t!i`--: FEL 4:l "• i ,# ;
PRoCESEING FEE 10.00
SEWER CONNECTION 40,00
PERMIT{ { PI::' !..t..!.. ;.-j{''{l.,II„N E AMOUNT? . . I AMOUNT N j ... .. .... ....
--------------
50.00 ,00 50 . 00
PRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THU COUNTY
UTILITIES DEPARTMENT ..456—3604 )
CONTRACTOROR APPLICANT IS FIELD i E i ATE AND CONFIRM THE
ELEVATION tAND• �',..._. ? � � STUB .. OTHER
EXCA
ATION
..;♦O LOCATE i..,C :."i i.. is IF. 'i'i "' PIPING , WATER LINES,
, s t v. '
CALL BEFORE YOU DIG ( 456-8000)
`-1::.::,::.!'. :.:. ! i.i B::; ARE TO BE CHECKED PRIOR TO. CONNECTIONII TO INURE
THAT IHEY ARE
AND
... .. .......
STRUCTED
FOR CLEAR INSPECTION
.... :. .. .... :-.
CALL :',-,�i+. " PRIOR i,,, ..{:i..COVER *****:/f: * *
24 HOUR NOTICE REQUIRED ****** *y:
.... .. .. ......
.. k*, .. .
456-3604
...}. ....,,.....:.:e.k't;ki ! 4 A ! . . t c: jjx : :1 p. THANK
. iC ' .1 ,:rj } j: ki:.}i..* li) :.;i.. y ': : : j: : :y ,i.: : .j
.
T
t 1
ICT--011 oRTANT MESSA►GE;,
FOR AG..
•
A.M.
DATE °`1--3°-91 TIMEL" 3r P.M.
M GeNEV i4
OF -TLC-
PHONE
AREA CODE NUMBER EXTENSION
CAMETO SEE YOU I L,.f`.AI I AI3AIN
WANTS TO SEE YtIU RUS :
REfiUR D POUF CALL fi CIAL A TEN ION
MESSAGE )32o3 E, +- Z e-r
e.M t-r
4? co6
cP d
P&
‘ •
glr
SIGNED - ,J
\LITHO IN U.- • ,
TOPS k- FORM 3002P
is