1991, 09-18 Permit App: 91005779 Sewer iiiiiiiiiiiiil
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
I 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 1 NUM. ER= 91005779 05» DATE= !:!'Y/'+'. ... . I PAGE= 01
.!F..!?'j?.a.** THIS I,:; i tF 3 t ! A PERMIT1?•***for??
PENALTIES Wlii '••r• ASSESSED .. ...rommENcING
wow
WITHOUT A PERMIT
SITE STREET= 13403 E liTH AVE PARCELO= 22544-1407
ADDRESS= SPOKANE WA 99216
PERMIT +.;:.`.•!::.•- SEWER CONNECTION ta,O!._ .............> ?
PLAT4= 000973 PLAT NAME= GEORGE ' S SUB
BLOCK= '1 _ !...i ... `y ZONE= s �' R": F.!.i. i t ::_ i.:
,}r OF ?:j: :!t;, t:::: •o- DWELLINGS= 't WATER DIE ! ....
OWNER= S"t E C;F`:'.i. ::.a? PHONE=
STREET= 13403 E liTH AVE
ADDRESS= SPOKANE WA 99216
CONTACT
t ° a ; NAME= LEONARD :H3INUMBER= 509 926 8964
BUILDING SETBACKS : FRONT=
NA LEFT= NA RIGHT= NA REAR= NA
A : na *Anjj (}K.j* f: f! j : i :N < r : . tPERMIT i ?: *1 x****tiryxm 1vx3fo * ? C Vk P *:
. _- : : i1r , H i S CONSTRUCTION PHONE=
z. . :::: 5096 8964
._.}?
STREET= 11817 E
z n,: .t,,r
ADDRESS= SPOKANE..'PitKANE WA 99206
ITEM EM I:E:S RIF'T :c:i • QUANTITY "?::.i::. AMOUNT
?
PROCESSING FEE 10„00
SEWER CONNECTION i 40,00
!"'ERM_. ?•."E FEE AMOUNT fi3Mi?t.}N-! PAID AMOUNT OWING
SEWER 'I:.;'.!ti 3. ? 50,00 „00 50,00
50.00 .00 50,00
PROCESSED)Es! t T : .fut....!.!.:. SHA ? I i_f
PRI
TED BY : jULIE SHATTO
, t ! ; ; _ tAS—BUILT .!.rq. t.,;!",r!::, ;' .;,iN IS AVAILABLE AI THE?::. .,t.3'..?�? ! '.
v
UTILITIES t!?::.!.:A!'; ! MEN; ! (456-6604)
CONTRACTOR : rAPPLICANT IS TO
"r ? I( . mojIE . LOCATE f•3�J f-f CONFIRM ;'!!:.
ELEVATION AND POSITION t.',•• SEWER STUB PRIOR .. {.R N OTHER
EXCAVATION
TO LOCATE BURIED CABLES, tr{..1,:: PIPING, %;:!{••, i #::.:. !...._N!::.::: .::i... ! ..
CALL BEFORE :t: DIG (456-8000)
SEWER , r !B. { R E T rBE CHECKED PRIOR TO CONNECTION TO INSURE
THAT i #'•i i-.T {•i�'�:• CLEAR {:.}!J D UNOBSTRUCTED TO COVER
THESEWER MAIN
.}j.:(.:j.:�.:::(.:p.:{.... CALL �. ,�.� INSPECTION PRIOR (�j 'O 5.`7=('.`• ***K:******
:••'tf'3`•t:•ti-:o:*') * 24 4 H 1t IR NOTICE Rt::.s: I._I I R E?.:' bb?• _:1s:)L* >•*1:';F;;
***K*:****:**** 456-3s,",:0•e: Y::k ai•x•:G•x'K***
rot,-.,t.3y:.!y.!...!,.3,r;t.i-.*!.1.!,.*7,.f,.},.!;•!.,}:!t x x!e }.. et !t••!?••;tr')•:tt THANK Yt.:i.j **************************K**** *..�.