1991, 10-17 Permit App: 91006927 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,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- 91006927 APPLICATION
PLNAL : J.Es WILL BE ASSESSED
SITE ETREET- 131 -19
ADDRESS- SPOKANE WA 99216
PERMIT USE- SEWER CONNECTION - WOLFCREET
PLATii— 001670 PLAT NAME- MOORE ' S PARK SUB„TR. 154, VERA
BLOCK- 1 LOT- :..; .. ..
4 OF BLDS- 4 DWELLINGS- 10 WATER DIET - VERA
OWNER- AGANEW PHONE-
STREET- 13119 E 11TH AVE
ADDRESS- SPOKANE WA 99216
CONTACT NAME- RON_SUAN Pi-ONF NUMBER= 509 922 0500
BU.ILDING SETBACKS : i-RONT- NA LE1.- i = REAR- NA
:i.Y.:{,:KK.ii.K ::{::{j.K.ii.:: :i..jj..: '..ji:K:{j.:{j..;j.:{j.:• :{(.:{j.
CONTRACTOR,: ALWAYS ACTIVE PHONE- 509 922 3500
STREET- PO BOX
ADDRESS- SPOKANE WA 99214
ITEM DESCRIPTION
QUANTITY
PROCESSING FEE
rriNi7nTinN 40 , 00
PERMIT TYPE AMOUNT PAID AmOUNT OWING
SEWER PERMIT 50 ,00 ,00 50 , 00
50 ,00 , 00
PROCESSED By . .c:HATTn
PRINTED BY : jULIE EHATTO
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 1‘ 456- 604 )
CONTRACTOR OR APPLICANT AND i
EXCAVATION
E-:::.WER STUBS ARE TO BE CHFCKE.D PRIOR TO CONNECTION TO INSURE
T -IAT THEY ARE CLEAR AND UNOSTRUCTED TO THE SEWER MAIN
24
HOUR