1991, 09-18 Permit App: 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/applicat on,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 u 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 th is 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= 9100�949 APPLICATION DATE= 09/18/91 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
____________________________
SITE STREET= 13112 E iiTH AVE PARCEL4= 22544-1218
ADDRESS= SPOKANE WA 99216
PERMIT U%E= JEWER CONNECTION - WOLFCRE%T
*** SEE NOTE ***
PLATO= 001670 PLAT NAME= MOORE ' ARK SUB.TR. 154 , VERA
BLOCK= 2 LOT= 5 ZO E= AUhl DI%TO=
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 150 R/W=
0 OF BLDG%= 2 0 DWELLINGS= i WATER DIET =
OWNER= INMA , %HEILA PHONE=
�
_OWNER= 13112 E iiTH AVE
ADDRE%%= %POKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************** ******** %EWER PERMIT ******************************
CONTRACTOR= H S CONSTRUCTION PHONE= 5O9 926 8964
%TETi8 • LYAVERE = AE
ADDRESS= %POKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
, %EWER CONNECTION 48.80
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50. 80 .00 50.00
------------- ------------ -------------
5O.00 .00 50.00
PROCESSED BY : JULIE JHATTO
PRINTED BY : JULIE SHATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE PURIED CABLES, GAS PIPINGWATER LINES, ECT.
'
CALL BEFORE YOU DIG (45"-8OOO)
EEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE RED **********
********* 456-3604 **********
******************** *********** THANK YOU ************************** ** ***