1991, 11-07 Permit: 91005842 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 muand nuomumduvmoonnvagent mcompile said permit/applicationwm
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and correct, and authorize Spokane County to ou with processing. In additionI 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
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the���om�� subsequent inspection'-give hority'���vi���o�r cancel the provisionswanvamte or local law regulating construction,oras a warranty of conformancece with the provisions of any state or loc /
laws regulating construcon.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005842 ISSUED PERMIT DATF= 11 /07/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13404 E iiTH AVE PARCEL4= 22541 -1511
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - WOLFCRE%T
*** SEE NOTE ***
PLATO= 000973 PLAT NAME= GEORGE ' S SUB
BLOCK= 2 LOT= 2 ZONE= %FR DI%T4=
ARE = OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGE= i 0 DWELLINGS= i WATER DIST =
OWNER= HELLENBERG PHONE=
STREET= 13404 E 11TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 0964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 118i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /07/91 0264 50.00
' ------------
OO TOTAL PAID 5O
TOTAL DUE= ^ = 00
^
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 ^00
------------- ------------
50.00 50.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
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 (456-8000)
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 *********************************