1991, 10-01 Permit App: 91006392 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 mcompile said permit/application permit/applicationis true
and correct, and authorize Spokane County moess/ In addition, I have read o understandmo /wopsoTmwnsoumowswruxvnT/cs
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
PROJECT NUMBER= 91006392 APPLICATION DATE= 10/01 /91 PAGE= Oi
****** THIE I% NOT A PERMIT ******
PENALTIES WILL BE A%%EE%ED FOR COMMENCING WORK WITHOUT A PERMIT
%ITE STREET= i32i7 E 9TH AVE PARCEL�= 22544-�828
ADDRE%%= %POKANE WA 99206
PERMIT USE= %EWER CONNECTION - WGLFCRE%T
*** SEE NOTE ***
PLATO= 002404 PLAT NAME= %OMMER ' % ADD TO WOODWARD PARK
BLOCK= 2 LOT= 12 ZONE= AG DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/�=
4 OF BLDG%= i 4 DWELLING%= i WATER DIET =
OWNER= MACE PHONE=
STREET= 13217 E 9TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= TLC PHONE NUMBER= 509 927 6760
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************** *********** %EWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRE%%= %POKANE WA 992.16
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10,00
%EWER CONNECTION i 40. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 . 00 .00 5O .00
------------- ------------ -------------
5O .00 .00 50. 00
PRGCE%%ED BY : JULIE %HATTG
PRINTED BYJULIE %HATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE CGUNTY
UTILITIE% DEPARTMENT ( 456-3604 >
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PG%ITION OF %EWER ETGR PRIGR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES , ECT .
CALL BEFORE YOU DIG ( 45 -8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN�URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR Tn COVEP **********
********* 24 HOUR NOTICE REQUIRED ******* **
********* 456- 604 **********
** ***************************** THANK YOU **************************** * **