1991, 11-07 Permit: 91005820 Sewer SPOKANE COUNTY DEPARTMENTOF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfy 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 permit/applicationis true
d correcu authorizea xa County to proceed with »mooss.nn In additionI have reaand 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 ORAGENT DATE
PROJECT NUMBER= 9i005820 ISSUED PERMIT DATE= 1i /07/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13122 E 12TH AVE PARCELO= 22544-3103
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - WOLFCREJT
*** EEE NOTE ***
PLATO= O03357 PLAT NAME= SHERWIN SUB
BLOCK= i LOT= 3 ZONE= AGRI DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGJ= i 0 DWELLINGS= 4 WATER DIST =
OWNER= BORUP, JOHN PHONE=
STREET= 13122 E 12TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
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 40.80
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /07/91 8264 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50. 00 5 5O.0 0 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS 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
�
EXCAVA . ION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE HEC R 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 *************** *****************