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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