1991, 11-01 Permit: 91005585 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 . d in it u submitted» t to o 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= 91005585 'ISSUED PERMIT ii /01 /91 PACE= Oi
****** ********************* PERMIT INFORMATION ****************************
S.: E: %TREET= 13104 E 7TH AVE PARCEL4= 2254i -i112
ADDRE%%= SPOKANE WA 99216
PERMIT USE::::: %EWER CONNECTION - ULID 903
*** SEE NOTE ***
PLATO= 000278 PLAT NAME= BURCHELL i %T ADD
BLOCK= i LOT= 7 LONE- AGRI
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
� OF BLDG%= DWELLINJ.G%= i WATER DIET
OWNER= BID EL PHONE=
ETRE ET= 13104 E 7TH AVE
ADDRE%%= :EP OKANE WA 992i6
CONTACT NAME= LE3NARD PHO NE NUMBER= 509 926 8964
BUILDING SETBACK% : FRONT= NA LEFT= NA RNREAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE 10.00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
11 /01 /91 8264 50. 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 5O .0O . 00
------------- ------------
50 ,00 50 .00 5O .00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER %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 PG%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
%EWER %TUB% ARE TO BE CHECKED PRIOR TG CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EER MAIO
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************