1991, 11-07 Permit: 91005812 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+ Nt.'+tait:..tt,... 9100512 .L:`:.:3i.}?::.:.1 PERMIT D T?::..... 11 /07/9 i .''f.:4t.;;?::.""^ ka•i
::'.:'.:r..•.::a..:::'..;'.:•.:'.*s•.:'.s'.:,'.:•.:+:s•..yt::::i.:'.:'.:i.:{.:,::: ! :'O ***************K************
:k!+.1-.}+. ?+.:-.t+.}t.:+.P.P.!k.+.P..}. :k ti .+..+...P.}.R F.!.!.!. rk ("`j:::.i"•:#"E.E.`.. .;.�:.):
EITE t::. ;: ? ?'C?::.E L':::: 13.120 E 'I "? t t'4 AVE ,.:.;,.:, ..- 22544-1217
ADDRESS= ;.'i:3Et:{'NE::: WA 99216
c}
PERMIT USE::..... SEWER CONNECTION .... tta�.{#...?_c.:?•';r.:.::: s
?-,! A .n..._ 001670 P r" 7 NAME= : ;1 R c• :j:;?c. !;i•; ' 7 :1 V R
BLOCK= 154 i.„01 =•�•- 't,i ,I - AGR t,-,' �' .. F
AREA= 00000000 • ;= F. WIDTH= DEPTH= ,%Iz= ":i,;:
WATER
4 ,..r} .i.'+...3.}tx,:}:::: •? �E� s!tta E ...t....i #;?.:r:4.... '? +.;.' i 3 .+.: i .... VERA
, OWNER= .yOOD UR'y' PHONE=
STREET= 13120 E iiTH AVE
ADDRESS= :,Pii+:,:NE LIA 99216
CONTACT NAML EONARDPHONENUMBER= 50:a; 926 8964
BUILDING.?"•tt.:: ,:>E::.TTif«}t..:K:. : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
i aa. P . . ' aY: } A {a. k 1d} kk j} 4: ij k : : z ^R PERMIT ';4•*3,:* i;-ji 3ti•jti;t••jti i!!i•F{• {-*•jt!3l•*}+i•A t+i Vit.4,i.:k:{..jR.},i i+k:tt.jl..jt.
CONTRACTOR= H S CONSTRUCTION
O ! !I ; i „ \ ?"I'i?...E''•}i::.::: 509 926 i't'i't:}'Y
STREET= 11817 +... til..?.... £:. . '! + f'•
VE
ADDRESS= SPOKANE WA 99206
ITEM 1. +t.:i.J.?'' .+.i.f?' QUANTITY FEE!::. r•ilit,.ri,_t!V ,
r:F;C.?C.•E E `.:.f.t`E t_r "?::.?.. j. {r:j 0
..+?::.tr•iE.'^E't CONNECTION 40: 00
!-.}{}t. !k tt.H)k P.},3+. 7k t•.t-.!•.,k,k!+:*'.`ir Pr•}%.+}-!`;*.,i•.'+i 3R 9k•:+i.+r•i!- r'?'"E {?'I I::.N ? ::1 t.i•'??•+!{a f Y i.j1.:.b iu..j,..j,'•..j..!?•.y..j,..j,.••}t•.+j P:.+r..j(..j,. ;. ;..t,•.:,;.:,}:+".:;.:;.:,::'.:,;.
PAYMENT :r ? R _CE. T : PAYMENT
AMOUNT
. . r'+':j7 /91 8264 50.00
TOTAL DUE= 00 TOTAL '-•A[1,}:-: 50; 00
PERMIT TYPE '-EE AMOUNT AMOUNT? p.4i.ti AMOUNT OWING
;'EWER
PERMIT '70 . Vkj} 50.00 .00
PROCESSED BY : jULIE EHATTO
PRINTED B'7' . :.!E..E...Tr HATTO
SEWER ++x:" til tIl; ai ..t.i?. IEAVAILABLEt--i , ! !•• COUNTY
r
UTILITIES I:E AEms'.Tr'?E`.N ( 456-3604)
CONTRACTOR : kAPPLICANT IS OFIELD
.i , t lcATE } CONFIRM THE
ELEVATION ;,-.t+} 1:t,l:, , , ,t N OF SEWER ... ...B PRIOR TO ANY OTHER
EXCAVATION
,... LOCATE T t.r?",.?.t::.f: CABLES, t:r i•-1 S PIPING, WATER LINES, ECT.
CALL BEFORE ;t.}I! DIG (456-8000)
SEWER STUK ARE TO liE C 'EECKEfDPRIOR TO _CONNECTION TO INSURE
THAT THEY t# •[ f••?•:?::. CLEAR AND UNOBSTRUCTED T i,i THE SEWER M{»t..?:!
.}}..tk.*.u..}t:!t:}l 9+:9+: CALL E"O R INSPECTION PRIOR E O COVER •A'::1i'9k'}..'1:*i s'h'A:
.e.i..t. t+ .} ....!: 24
HOUR NOTICE REQUIRED :N:"}`.•}:•?:•Vii:!+.:y*!t!i.
.,,.....:.....t•:t .j}..j}..jt. 456-3604 .+:.+..+:...+:i+:n• +: +:.+:
;. *_ f } k? Paack} : a : a :: } } assan: . ti :1THANK it _ )I.. } ? N. . . fi} ti*) Sj } 3 : . :1 • : l *) i : l . .