1991, 09-20 Permit App: 91006106 SewerSPOKANE 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, l 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
heramornot I understand that the issuance of this peanut/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate a r 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 NUMBERcc 91006106 APPLICATION DATE= 09/20/91 PAGE:= 01
****** THIS IS NOT A PERMIT ******
PENALTIES' WILL.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
S'IT'E S'TREECI'= 13209 E i0T'H AVE PARCEEL:= 2^544--0940
ADDRESS== SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- WOLFCRE:SI'
**+ ,SEE NOTE ***
PLAIt= 002404 FLAT NAME= SOMMER'S ADD TO WOODWAR'D PARK
BLOCK= 3 Li ii ZONE= AGRI DISTx= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGE=: i DWEI_I_INGS== i WATER DIST =
OWNER= DAVIS, RICHARD PHONE=
STREET= 13209 F,:: iOTH AVE
ADDRE.S.Szz SPOKANE WA 99216
CONTACTNAME= TLC PHONE. NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
********«******************** SEWER PERMIT*****************x*u**********
CONTRACTOR= TI_C CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E i2TH AVE
ADDRESS= SPOKANE WA 99216
ITE"M DE:S'CRIF'TION
QUANTITY
FEE: AMOUNT
PROCES'S'ING FEE
Y
10.00
SEWER CONNECTION
1
40.00
F'ERMIT TYPE: FEE
AMOUNT'
AMOUNT PAID
AMOUNT OWING:
------------
SEWER P'Ei:RM1:T'
,1,50.00
_.______,_._._-__
.00
_.......... ... ..____.___
50.00
50.0
.00
__... ......... ..... ............ _
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY. JULIE: S'HATTO
SEWER STUB AS'—DEALT 1:NFCIRMA1'I0N 1:9 AVAILABLE Al THE,,: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPL-IC:ANT IS TO FIEL.D LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, I.CT.
CALL. BEFORE YOU DIG (456-8000)
SEWER 911 ARE TO BE CHECKED PRIOR 1'0 CONNECTION TO INSURE
THAT THEY ARE CI EAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVE: Ft
********* 24 HOUR NOTICE" REQUIRED **********
***w*x*** 456--3604 **********
************************* THANK YOU**************x****************x*