1991, 11-07 Permit: 91005944 Sewer Artiummumil
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
i W. 1303 BROADWAY AVENUE
i SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/applicatipn,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= 91005944 I:.}:?L'1.:.k: PERMIT DATE= 11 /07/91 PAGE= 01
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SITE STREET= 13204 E 11TH AVE
ADDRESS= SF O1',{••NE WA 99216
PERMIT Sr : SEWER i r . : :ON . WOLFCREST
??:'}:'i:' :;EE Nom i:: ' , )k
PLATO=r..... ..`•.. .I :..747 PLAT :?A1:?..._.. 1 ....t...:`•.?... ' ,?. PARK SUFI n 11't., ^•>•. % ?€::.1'tA
BLOCK= •# ;:t.', 1:,0T:::: "i.!7't I::.x: 1�#i..v 1'°::s J. :i.x:`.••! .,,
AREA= ::J,�_!�},')t;!;� 1• , r.•?.... WIDTH= DEPTH= ,•txt::: 50
1 wDWELLINGS= 1 0WATER 2r - 7
VERA
OWNER= ROBINSON : MARTHA P PHONE= 509 926 0170
204 E 11TH AVE
ADDRESS= SPOKANE.. WA
99216
CONTACT
1NTrrT NAME=
P "E . LEtNA47 PHONE diP • ! : 509: __ 8964
BUILDING
SETBACKS :- RON1 = NA LEFT..t 1 :::: NA RI.G,..E-1 ::.. NA h:1::.AR.._ WI
. o } L , : *: t (* j} 4 : 1 : *R) Y ; i: y } SEWER "H ' " { ] k 7 : k Ak! Ai ! h t PN4 F; i : 9k? Rkk t! k P
CONTRACTOR= H & : CONSTRUCTION PHONE= 509 926 8964
STREET= 1 •t 8 "! E:: ' ALLEYWAY AVE
ADDRESS= SP`t"iKf§NE WA 99206
ITEM D#•• k.I,}S, i I" # :.t„IN QUANTITY FEE AMOUNT
PROCESSING_ FEE Y10 . 00
SEWER#": OV Ail t'•. •
40. 00
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PAYMENT LATE RECEIPT::: PAYMENT AMOUNT
#^
11 /07/c. 1 .264 50.00
TOTAL
E)1 E:..... .00 TOTAL 1"A••#.1. ?.... '- •
PERMIT TYPE 1..1::.1::. AMOUNT AMOUNT PAID AMOUNT ._}ix).1.1•'.i.T
SEWER PERMIT So ,i;}t-} 50.00 00
50.00 50.00 .00
PROCESSED BY : JULIE .SHATTO
PRINTED BY : jULIE :HATTO
SEWER STUB 3..jB e•'!:i•....!;S#ie.1... i INFORMATION .i.:- t•:}V t•.i 7.;...A=i fK...la. AT € ..11::. COUNTY
UTILITIES LEPARTMENT (456-3604)
ORP E.. , I".• :,,-r ',' LOCATE i:., ,}{. .. Citi; CONFIRM H,..
CONTRACTOR f�€? ? ?....?. ..r:t?, i � �i t,i r• '' _.E.;� ...t_ .:f'•. . !: €' € ..
r0a? :,x.., _R STUB PRIOR-i 1": TO...ANY OTHER
ELEVATION A- 1'�'?.? 1"}.?z:;s. 1 .t.�!a #_;1" SEWER tid l:.?'°: 1 .l.t.. ?{'." 1 r'?::.1•:.
EXCAVATION
TO LOCATE}� 3' €.. RIE:D i..:ABi...1::.4 GAS PIPING,; WA�I ER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
)
SEWER STUB Ut :: ARE: € i.. BE CHECKED PRIOR TO CONNECTION TION ^€ O INSURE
THAT T• T1..EE:.Y CLEAR AND UNOBSTRUCTED TE::.'"J • I
INSPECTION "1SEWER MAIN= TN
9r *: J : t) a : : .� FOR R1 , 1Ti COVER E } i3vnt *
:
•P.'3+:h•:+t•.,•!t•1t••}t•r: 24 HOUR NOTICE 1' 1::.?;?'..!.1:,.:,.:D if•: :}?:1t-9r l'' t=1:•)f••'!>:
:7,.****.y,:y+i;y.:J; 456-3604
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. y *; ! t : iaai : a :i ttid7r3 . . JqTHANK YOU : ) t: ** j** j*kj:Jj..: : .1ai..
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