1991, 09-18 Permit App: 91005842 Sewer ..rl�
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
' ih . r - _ NUMBER= 9` ( ;_ : ; APPLICATION . i . 09/18/91 PAGE= . •
PENALTIES WILL BE r..t,,::;±::.:•:iC:.I) FOR CC:IMMEN±-::1:NG Wc:It'+K, WITHOUT i PERMIT
_.. 13404 r liT 1_E A V E: P r';F :.,_t i . ...i
ADDRESS •• x 1`:„ E!:tea s'.'1::. W A '1216
** EEE E:. Nis 3•TE: N'!'i il!'
r•., x-1::__ 000973
PLAT
: :._: N E= GEORGE ' S Y:
AREA= 00000000 F/¢:,= j.. t.± :t. ! -±:::: DEPTH= t±c::
0 OF ):f±..- :1!s 5.::: '± 4 DWELLINGS=
?%,!f..' ± _.... . DIST} ....
(::'W±i±::.t':,=
HE± tN'
± ±G PHONE=
STREET= 3404 _
iiTH AVE
ADDRESS= SPOKANE!:tN.E A 99
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 G964
BUILDING a•E ± 13 A±..:E'•.,\ : FRONT= NA LEFT= N A RIGHT= :�,i;.:! REAR= i s±i-;
******K********************** E3t : PERMIT *****************************K
CONTRACTOR= .-t CONSTRUCTION PHONE= 509 926 ... ... .
ADDRESS= SPOKANE WA 99206
:.TEM DESCRIPTION QUANTITY FEE AMOUNT
:::iat„it_.x-•..,S 'N7 FEE `k t.•! .-00
SEWER CONNECTION '± 1:10
PERMIT ix : I1 ! AMOUNT
' 3 N AM• Nt "
1 ' D AMOUNT OWING
SEWER PERMIT 50,00 , 50,00
PROCESSED BY : jULIE EHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE AND D f;E:N -i•1M THE
ELEVATION f•�i i~f,_? POSITION :l E:. SEWER. ,'. ± {.!t:t ±••;•:�.(.f�.; i %I f`•1 j'�7` OTHER
XCAVATION
- LOCATE BURIED CABLES, .( i .PIPING, xA . ( LINES, ECT :.
CALL BEFORE 1 DIG ( 456-8000)
SEWER tUB : ; : TO
BE CHECKED " " I= t ' : CONNECTION ± _ :INSURE
THAT THEY ARE CLEAR AND
I t p {!.:t r' R I..i i ! E:':.i TO THE SEWER MAIN
.1.r.3.R1.1k 9`.'Yt$1 CALL FOR INSPECTION i'R1.E,F!{ .TO COVER •Pi*•3i.jt.:r..a :•.:•.h'R'
ar*-r•: r:w-:}r of sr •4 HOUR r,r=..? t .E:t.•5::. REQUIRED •i. ** i'.i-.i s't.
*****K*** .r.•f:>ry....-..;L:14 n:* L 't r•p !1;..1,..x.
THANK } ***************************H*** *.s,.
******************:k*** *********1: ?-..??.