1991, 12-18 Permit: 91005328 Sewer SPOKANE COUNTY DEPARTMENTOF 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 additionI 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 OnAGENT DATE
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PROJECT NUMBER= 9i005328 I%%UED PERMIT DATE= 12/i8/91 PAGE= Oi
************************** PERMIT INFORMATION ****************************
%ITE STREET= 13218 E 9TH AVE PARCEL4= 22544-0930
ADDRESS= %POKANE WA 99216
PERMIT USE= %EWER CONNECTION - DRY LINE ONLY
*** SEE NOTE ***
PLAT4= 002484 PLAT NAME= %OMME ' ADD TO WOODWARD PARK
BLOCK= LOT= i ZONE= AGRI DI%T4=
AREA= 00015000 F/A= F WIDTH= iOO DEPTH= 1509 R/ = 50
4 OF BLDG%= 2 4 DWELLING%= 1 WATER DIET =
OWNER= %C MIDT, TONY A PHONE= 509 928 1164
STREET= 13218 E 9TH AVE
ADDRESS.. SPOKANE WA 99216
CONTACT NAME= TLC PHONE HUMBER= 5O9 927 6760
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CONETRUCTIONPHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216 _
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE Y 10 . 00
SEWER CONNECTION i 4O.0O
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/18/91 9533 50.00
TOTAL DUE-DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50 . 00 .00
PROCE%%ED BY ' JULIE %HATTG'
PRINTED BY : DOMITROV , ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM T�F
ELEVATION
AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%;RE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR I PE N PRIOR TO �COVER **********
********* 24 HOUR NOTICE REQUIRED **********
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456-3604 **********
******************************* THANK YGU *********************************