1991, 12-18 Permit: 91004833 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
' t1} _ ! -NUMBER 91 00t ; : ; t > } ?: } 'it" 12/18/9i± DATE=:
PAGE= i•)i
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: !... STREET=!":!::.t::. . :::: 1 :?.:::4;t 1 t... '.}` ± :'I i^{+i±::. i.:;.�!''t:t.:..:.?...:+;::_: 22544-0327
:.: ADDRESS= SPOKANE t,'•A 99216
PERMIT U C'.,= i'E W`::r. CONNECTION .... DRYLINE ONLY
ri•.i: SEE NOTE f..N Jr
7 ti n_ 0024. 4 PLAT NAME= � ! , t ADD 1 tAli.?±..!!%tAtF•t t:.t? PARK
is i..O( K:::: i._.l :::: 'l' '? "-i3 i = AGRI DIET
-=
AREA= C)00.(1....).00(.)0 F,%fa W: ,.. WITjlj••±::: DEPTH:- 4 r.
• :
•,!• �,!±_ t;i i; t 1 is,;,:::: :H: DWELLINGS= 'tWATER DIST± -...
OWNER= ALEXANDER PHONE= .. _
STREET= 13209 E 9TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC PHONE NUMBER= 509 ;,,2 +: ^y 76.0
BUILDING SETBACKS : FRONT=. NA LEFT=::: NA RIGHT= NA REAR::: NA
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CONTRACTOR= SLC CONSTRUCTION PHONE= ....aj.; 927 6760
TREET= 13816 l::. 12:T F't AVE
ADDRESS= }P0K ANI: WA 9921 .^}
ITEM DESCRIPTION QUANTITY FEE AMOUNT
.
•
PROCESSING_ f•Er: i 0 , 0
SEWER CONN _CT:i:ON yF . 00
............. :........:..... .... ,••.a ,:t�r•„-:- r„;;y:}:
:.l..j..�,:.1,..�..1..+?•'tt')}'.j+i'f+i +:.k.j}:.,{:J,::Ji••Ni•7k$+i 1j.i!,•;},;•H•9!'9k 4h.1}:9+:9k•P: 1^F.3';t i i...:d t ,•E.}!±"t fA!i't;', 9.....a.:p;:Ji.:J+;'p.•:}r,?:;3(..jj:Ji.1i..Pi$+i'Ar'!+r Ni'H-')+t•/+i.ji..j,.:1,,.j}..j,..j,,
PAYMENT DATE r:r•t ,._..,-:T n PAYMENT AMOUNT
12.118P.P1 9533 50 .00
TOTAL DUE= ,00 TOTAL PAID= 50.00
PERMIT TYPE r t::.E AMOUNT AMOUNT i AID r•t MOUNT OW,-NG
•
::iy
;t:�:?x11._!. PERMIT 50.00
,;>0:.i„)+`t ,00
50.,00 50 00 •.00
,
P l t.+t.:t::. , t::.?a .l:f'3 : JULIE :3 r't t t ± i a.?
PRINTED BY : )1 :i±"i.I ('RC?VIC:H, RC+rt:ri`3
SEWER STUB AS—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
,I T t r t E" 1 :ff:1 RTMENT C. 4 , 3t+;l
t.:t. ±'1. fRF-±t.: ! !.?!'_; OR A!••r' .e.t:AN ± TO FIELDLOCATE- AND CONFIRM •i .
is L..L:.4'A-i IO33 AND t.:t.' } ± .±.t.fN OF.�..>i:. ER STUB P±':.!.O1' TO ANY OTHER,
EXCAVATION
TO LOCATE E: BURlE!? C:Alt±...E.:t GAS PIPING, MATER LINES, -:'i-•.-i
CALL BEFORE YOU DIG C.456-8000`!
SEWER STUDS UDS ARE TO BE CHECKED? t"FcIOR Tn C CtNNF t;:"f•TON T t
THAT± I )»iE ARE CLEAR AND UNOBSTRUCTED 1 ±..t THE t::.WE..rt. MAIN
.ji•''r.-*3t- -•)*•)+i* CALL FOR R I r•1S±..l::.t.: ! I O N P R I O F • TO COVER. .j;..j;..p;.:A..n:*ri r:•a;a:
i++rii•Ji'ii•f+ili-*Ji•)'i 24 HOUR NOTICE i".Et.:,lUIRi-,j.! :k'*)+**.**ih'R*
C Fk Pk Y 9 : h 4- t . h 6.t 4 ****K*****
1 9.t..9 e* : : u.N: hy : :1 1 *K ng ) ; P! i faTHANK Y 9 ) jitliinY9 ) jp j ) 7 4! 9 :Np} jj ( y. ,} ;