1991, 09-18 Permit App: 91005843 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
/certify that/have examined this werm/vunv//mxon,state that the information contained mnand submitted»vmoonnr�enuovomnnouumpermit/application/ trueund correct, and v�m^�eSpokaneCountym
e
N 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
PROJECT NUMBER= 91005843 APPLICATION DATE= 09/18/91 PAGE= Oi
****** THIS I% NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
EITE STREET=%TREET= 13106 E iiTH AVE PARCELO= 22544-1219
ADDRE%%= SPOKANE WA 99216
PERMIT ,USE= SEWER CONNECTION — WOLFCRE%T |
*** EE NOTE *** |
P T,1= 001670 PLAT NAME= MOGRE ' % PARK %UB. TR1 4, VERA
B = 2 = 6 ZONE= AGRI D =
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= Nt,%= 10 WATER DIET = ERA
OWNER= JACOB%ON PHONE=
%TREET= 13106 E iiTH AVE
ADDRE%%= SPOKANE WA 99216
CONTACT NAME= LEONAU PHONE NUMBER= 509 926 8964
BUILDING %ETBACK% : FR]NT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CON%TRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= %POKA,IE WA 99206
ITEM DE%CRI ,TION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING 7EE Y 10,00
SEWER CONNE�TION i 40 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- _------------ ------------
SEWER PERMIT PERMIT 50.00 .00 50.00
------------- ------------
50,00 ,00.00 50. 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWERSTUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES D[PARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLESGA% PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (451-8OOO) ' ' ^
SEWER ETUDE ARE TO BE CHECKED PRIOR TOCONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
********************* ********** THANK YOU ******************************* *