1991, 11-07 Permit: 91005948 Sewer SPOKANE COUNTY DEPARTMENTOF 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 com / with same.All provisions mlaws vnurd/ es governing this of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/aplication and or Certificates of Occupancy
givemvw/moo,mmoo/�upmv/�vnemany ommor/mm/law�mu/�/novvn�mm�/cn.v,�� as awa"����con�rman���h������on�s of anys��or��l
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SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005948 ISSUED PERMIT DATE= 1i /07/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 1311i E 12TH AVE PARCEL4= 22544-122i
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOLFCRE%T
*** SEE NOTE ***
PLATO= 001670 PLAT NAME= MOORE ' % PARK SUB.TR i54 VERA
BLOCK= 2 LOT= 8 ZONE= A�RI Df%TO�
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 45
0 OF BLDG%= i � DWELLIN�%= i WATER DIET =
OWNER= PUTNAM BILL PHONE=
STREET= 1311i E 12TH AVE
ADDRE%%= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING %ETBACKJ : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H CONETRUCTION PHONE= 509 924 8964
EiKEET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /07/91 8264 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00 ||
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 5O.00 .00
PROCESSED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTO
SEWER %TUB 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)
%EWER 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 *********************************