1991, 11-07 Permit: 91005779 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 Soxuno 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 OnAGENT DATE
PROJECT NUMBER= 91005779 ISSUED PERMIT DATE= 11 /07/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 13403 E 11 T1.1 AVE PARCEL41:= 2.::.544-1407
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOLFCRE%T
*** SEE NOTE ***
P AT0= 000973 PLAT NAME= GEORGE ' S SUB
BLOCK= LOT= 5 ZONE= SFR DI%T4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= j 4 DWELLINGS= 4 WATER DIST =
OWNER= %IEGFR ED PHONE=
STREET= 13403 E 11TH AVE
ADDRESS= SPOKANE WA 992.16
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONITRACs.TOR= H & % CON%TRUCTION PHONE= 509 926 0964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE FEE Y iO.00
%EWE1' CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
11 /07/91 8264 50. 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 5O.00 .00
`
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4) ,
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (45"-80O0)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ************************** ******