1991, 09-13 Permit App: 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 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= 91005S85— , - .. T.ZO DATE= 09/13/91 PAGE=
E.:
**;:e;d ii••}i• THIS I S NOT A PERMIT !1)i•x'9t')i..n.
PENALTIES WILL E ASSESSED F OR COMMENCING WORK WITHOUT A PERMIT
.. AVE, A._:: 22541 -1112
,.tr.. ::. STREET= 13104 '::. 7TH f"j n i::. ^��•.P4 L.:::.I...N_••
ADDRESS= SPOKANE WA 99216
F'ERi"1't:T I,_l iE::= SEWER CONNECTION .... L t...':.ti 90
'r7,.•P: SEE NOTE 9t•7t•'Jr
PLATO= ptvimr_ -iAf NAME= IRcl -li1ST
T
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D,
BLOCK= LOT= f ZONE: LvRi
0 T.`,'
AREA= 00000000 0 I^/A= I_. WIDTH= DEPTH= R/W=
OF B1...D+.r,S:::: 1 .µ. DWELLINGS= '1 WATER ER D:. iv
OWNER= B;{1:Ii liti l i..I... PHONE=
STREET= 13104 E 7TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT i'tAME:= LEONARD +.?1_Ii,llt?I::. N1,1t":j?+::I•.=
" "9 8 . !4
BUILDING SETBACKS : FRONT= NA LEFT= Ji RIGHT= NA REAR= Jt
,),:. *****K********************* .> ::.LJ t::.i`•`. PERMIT •le•m•n:'Jr.R.1,..1,,.1,.•}I:.u..y...},;.},;:1;.y,:..;;..ii•*ie•P:***P:'n'r'Nr'iE**:k
CONTRACTOR= HCONSTRUCTION
,•P•tt.ijvt:...... 509 's r, 8964
STREET= 11817 t::. o rAi i......E:.Y l:ll(Al Y A l'E:.
ADDRESS= ,:>i''t.tiiANE:. 11:IAA? 99206
;:!`':.
ITEM DESCRIPTION QUANTITY t::'E::i..: rAlMi:.ItiN..j.
PROCESSING FEE 10„00
SEWER CONNECTION 40,00
PERMIT 'rY;.';::. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50..00 ,00 5(:) ,0
50,00 „00 50,00
PROCESSED ;`x • ..:UL.:FE SHATTO
PRINTED ):{'f : J U t...1.E:. SHATTO
': ::.,1E :> Ir:: AS—BUILT INFORMATION IS f 'u`f•At1.L..f•' 1•.{1..I::: AT THE COUNTY
UTILIIIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT .i:::> :co FIELD I...i:t ::ATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER ,.'TU).{ 1-`N'.I IaR TO ANY OTHER
EXCAVATION
TO LOCATE
L O C^ LBURIED : rLE > , : rS PIPING,
. Pi ' . , h " !lE LINES, : :I
CALL BEFORE
YOU I'.i .t?.f.+..V (456-8000 )
SEWER STUBSARE TO BE CHECKED PRIOR TO CONNECTION TO i NSUR
IAT t ri-It..: AA1t:�.E i;I...t..:AI• AAt`i Dr IINisiB;\i i lii:?I:��+.i I iO ..CI••ll ,SI: 'u,lE=F intitI '
.l,..x*•n:'}i..},;.},:'P::x: CALL . y P :..C . IPRIOR
T tt OCOVER 4**
i: i pi i}
t* rivtit) ELt}!I ! !.1 nrMriri*3ni
456-3604 n:':rJL• *•}ktit•ii'*ii
..1 *1 1 n i it J J i ! it • *1 Jt JL it n x 7L 9!it Jt 7.JL M 7t A!t THANK 7 t.t:,.E ***lL•jr JC')!'*'1!.?!'i!")r•Jr 1L'7L'Jr'Jr 9!'!r Jr lr)!'Ir IL')L''1C'7!':}C'it jr'Jr