1991, 11-07 Permit: 91005949 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/applicati n,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 ith 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 thi permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions o 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
NUMBER=pRiTiErT
1-.:-.:} }?)?1?)?:?1•.1•.1•.if.,?;? ;}..}!..},•.}(..}y.jj.1{.:}t:j(.:){' t.:?::.t'S.{'±.?. t .i.±`.?••!..1}...N("! ± .?.i.i#',? }?.f'"9e.1!:.1e.1?.}?.3?.t?..?t.}?._y...}v..!..*M..1r.*}!.:!?-7?"J!:9f'Y.'9i•!f j:•*
SITE STREET= 13112 E 1i ;•1 AVE PARC....—..O= 22544-1218
ADDRESS= SPOiKA Edi. WA 99216
PERMIT
jt..}:.}f" :'E{, NOTE *!!::.
........AT = 001A—P:) FLAT 3 A 'E. : _ i S' - PARK
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AREA= 00000000 1 `: WIDTH= :.y: DEPTH=
:: _i . ..... .. t.:i R/W=
OF BLDG
,:.>: a . WATER %' w
OWNER= t.N??A±u SHEILA PHONE=
STREET= 13112 E iiTH AVE
ADDRESS= SPOKANE NE isi!•:t 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 3964
BUILDING SETBACKS : _ ; jT: NALEFT= NARIGHT= NA REAR=
A
SEWER
:,:�)!:•)•it k i;•),;.;y.•�:•i!;:@�i•3r 3!i ji.:){•by:)f••Pi 3j.'i!;.iy.:1;; j••i •Ri i..):..),. ?"±::.E''•:±'?.E. ± ************K** **************
CONTRACTOR= eCONSTRUCTION PHONE= C:< � '^ 64
STREET= 11817 E VALLEYWAY AVE
ADDRESS= .::'P{li1 r'{;-,!E WA 99206
ITEM DFSCR I { i i # QUANTITY` { t t "ErAMOUNT
PROCESSING
E 10,00
SEWER :.:t._t{+e i`�E?::.#:..:•i•.:'L t.�N 40,0i:7)
........ ....... .....a,:::.:::.:. '.a'.:.::,•. .::::::* "'.:" ,...A - :'#' t=i:: :},::!.:j.:!j.:j.:fl:::j.:!.aj..,I !::u.:,::j.:j.:j.s'.:,l 1. ;r::;u::!!;'i`;n;.i,:.),:•)i
.?y.:�},;,•;,:3y::�r�!:?r'),;')y; !;•)i:;?•-?!.,-.1?:_.:-.,-. u. a..?.,.:-.?-.1z.:? u,.....rt.„ i•��,Y';``t i::.;••: i ... -..3}`'S I,r;I•c'`j ....?...)...,.?. ,..t.:...:?1.1. ,.,�.:.... r.
PAYMENT DATE ±":?::.i.:±::. i.I••TO PAYMENT t•{i`t:,,.t_kN
11 /07/5i 3264 50,00
TOTAL t•! D+,'...•••. .00 TOTAL PAID= ; f•1 . 00
PERMIT TYPE I_EE::. AMOUNT AMOUNT PAID
AMOUNT OWING
•
SEWER
PERMIT 50.00
! !_ j- . 00
•
50, 00 50.00 ,00
PROCESSED ..,•# : JULIE ,::-H A ? ± i.:
PRINTED FT) BY : :.•iU?....t. ::. :`aHti ± I ?..E
SEWER {.-i AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES t,Ei`AR ? t"ti::.t,} I (456-3604)
CONTRACTOR t..1 E' APPLICANT IS TO FIELD LOCATE {=`-i'•?j i CONFIRM. THE
ELEVATION t-t+,1.1 POSITION #,l±•' SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE E E U?'t.?.ED CABLES, GAS PIPING, WATER LINES,
L I
NES . ECT.t .
C- rt- ? : YOU T.) d ,6. :: ; 1
SEWER STUBS, ARE 3 - ( E CHECKED PRIOR TO CONNECTION TOINSURE
THAT ! iY ( t . A : AND UNOBSTRUCTED " " THE SEWER • = [f
) ff iiiqaCALL ; O ; INSPECTION PRIOR TO COVER ) 1 :kxiin1i
} } * j ; jijK : ' HOOR NOTICE REQUIRED
" ar : ti j • ; atc:;
"•ii•4L•'F::!t !::!,.yy.* 456-3604 _ 1'1.,+.Jh 9.7'
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