1991, 11-25 Permit App: 91008154 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER- 91008154
.. ...#'a .t?(ti # E=': i j `-%4; it;>1 PAGE= 01 I
PENALTIES WILL BE ASSESSED FOR COMMENCING WCtRKIT •3tWj�HOi.,i7
A PERMIT
SITE STREET-Et:.T 13413 I.: 9TH Avp PARCEL4= 22544-0713
USE-• CONNECTION
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SEE NOTE yr ak 3k
..L..t f i 'a..... 002404• i # i + NAME-1 Is `O M M rr , �
ADD i " : " f % � � tftfr '» , . . 1 LOT= 13 ZONE= AGRI DIST4- F.
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0 OF
DEPTH= _ .d # . : _ • # :,� -4r '..#... „t:� Y::':: ' r :T, D. i .
OWNER- BALDWIN,
STREET-txEET:::. .# Y4 1 E », PHONE=
ADDRESS= SPOKANE WA 99216
CONTACT NAME::' •I L C:: CONSTRUCTION
PHONE NUMBER-
; �cUItD. NG SETBACKS : FRONT= N, , LEFT= N/A RIGHT=
N/A REAR-
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CONTRACTOR= TLC C t.:ONS 'f #1i,_: ..:!iON 509 -
27 ADDRESS- SPOKANE ;
STREET- 13816t,
ITEM DESCRIPTION CUxNTITY . _ iAMOUNT
--------
PROCESSING FEE y ,.
SEWER CONNECTION i 40.00
1 0 : X10
PERMIT TYPE ;..t..E: AMOUNT AMOUNT PAID AMOUNT
,.- , OWING
SEWER PERMIT
50.00 •
50.00 .00 50.00
PROCESSED ? . , ?" . °it # :_ ROBIN
PRINTED
BY :: DCtj"fTTI' 1. . ..:l:'I`I, ROBIN
SEWER STUB As....EU1.I...T INFORMATION Ia1N .!:. AVAILABLE A�' THE t• 7
UTILITIES J 1 t::.t'r-�s r:: # "#::.#'�I # (456-3604)
CONTRACTOR OR APPLICANT
FIELD
.L. AND CONFIRM
- " »
-I - r rry AND POSITION i` I I PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE E r t.}#'{:.t.L':.D CABLES, GAS PIPING, WATER
c:AL..#... BEFORE YOU DIG (456-8000)
SEWER STUBS UB ' ARE. TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY
H tY fitCLEAR
LEA# ` 1~ UNOBSTRUCTED
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� SEWER
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ATd33 } I CALL t ; INSPECTION PRIOR TO COVER 4Ni3HA3Ak
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. P JJ1 _ 4 HOUR NOTICE REQUIRED k33kE3 *3 *3
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