1991, 10-01 Permit App: 91006256 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY,AVENUE
SPOKANE,WASHINGTON X260
(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
O.{E{.: i NUMBER= 91006256 APPLICATION DATE= 10/01 /9i PAGEi:r°!
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT t::{ PERMIT
SITE STREET= 13815 E 9TH AVE PARCELO=
ADDRESS= SPOKANE WA 99216
PERMIT USE=E...... .:I"t!E{••I"v CONNECTION .... .: .......} ..:I•`:l.:.t.. .
PLATO= !.tt•1!-! . { : PLAT NAME-, BLAKE & i•'{f-IN:'..i,t!`'J SUB,
BLOCK=
t - LOT=
O
ZONE=
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r OF ; LDC:— 1 ! DWELLINGS= i WATER DIST =
. OWNER= HUGHES, LARRY F'HCli:4E=
STREET= 13815 E t
SPOKANE AVE
99216
CONTACT NAME= TLC PHONE NUMBER= 509 927 6760
BUILDING
r D , r: SET :F1 . : 'FRONT=
F3 .' . ea LEFT= NA RIGHT=
_G } ; , rREAR=
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STREET= 13016 E 12TH AVE
ADDRESS= SPOKANE WA 99216
.i. i I::.C9 DESCRIPTION QUANTITY :'?::.'::. AMOUNT
CONNECTIONPROCESSING
00
SEWER 40,00
.
PERMIT TYPE {..{..r. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 ,00 , 00 50 ,00
50, 00 ,00 50 ,00
PRINTED BY : jULIE SHATTO
SEWER. - '....r;i t'•.{ I..f...;,;,.,.i.,,t i ,'a i t_i;n. . .i.?...�. _.. .... r:it-'; THF i�:
v INFORMATION
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—3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
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CALL. BEFORE YOU DIG (456-8000)
^t ARF
TO BF CHErVED PRIOR TO THAT THEY ARE CLEAR AND 1.31••.t..;k�:: l `!•:.CONNECTION
SEWER MAIN
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..........::..l....:..1, .f.� HOUR NOTICEREQUIRED• ** *:****.x-*
456-3604
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