1991, 10-31 Permit App: 91007428 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
I 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
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PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE
.1:E 22544-1225:.;TR _. ._ PAR?..E....... '• .......
STREET=
i
WA
PERMITADDRESS= SPOKANE
99216 I
USE= SEWER CONNECTION tI:EE,.E!..FCREST
,
NAME= VERA
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
ZACK . ART PHONE=
STREET=OWNER= 13217 E 12TH AVE
A
Ai4 #-
i D4)R`t'..:..... .. SPOKANE 'i4A ':)'. ..j ! ...
CONTACT NAME= . , CONSTRUCTION . LEONARD ,'Hf0NF #i MBE.'
09 926 i6
I
BUILDINGSETBACKS : FRONT= :rLEFT= N/A RIGHT= N/ A REAR: N/A
**********:k*********** ******
s: t# ` PERMIT : ; jjjijjt P . j3 , t ) .. . t . .a ) P ., . , .
926
CONTRACTOR= PHONE= 509 8964
STREET= 'E } "r` :' `,i A#...#..#::.Y tai rA:'x' {At V E::.
ADDRESS= SPOKANE WA 99206
ITEM!"E"! St'::- *..:.',. !'':::`t' . ,.t,) QUANTITY
!:..E.. AMOUNT
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PROCESSING FEE_ h
SEWER f: E'4 ,..•t.i v!'`?!::.... . .!.t.?e'f •i 0..t::?FJ.F
PERMIT » YFL ;....E E . . i -: T :
r ?_ . PAID ALU # OWING
SI .R PERMIT 50.,00t,0 50 „00
•
r.t) 50 .00
PROCESSED ?;e Y Y+'_iM E. # RO'p' Ei" #••i ROBIN
PRINTED ... . : DON]:YE'Ci.:I ... ... , ROBIN
SEWER STUB s :,•tIE AVAILABLE AT THE COUNTY
UTILITIES
DEPARTMENT (456-3604)
CONTRACTOR i.,E!';. {A!E"#:!....!.f.:f-i!`:;ni• .E:s TO FIELD LOCATE
AND ...:tyititF: ].Ri. #..#!::
ELEVATION AND POSITION OF SEWER STUB P! ...t.i + t'! ANY OE !:
EXCAVATION
TO LOCATE BURIEDPIPING, WATER LINES, ECT .
CALL BEFORE DIG , t0 t
SEWER
r . ! . S- # iE ARE„ TO BE
CHECKED
# E» tEk "? . . R TO C_ Nv E C• E _N TO
INSURE
r : THEY ARE CLEAR AND UNOBSTRUCTED TO T"' `1 # _
+i C*)+:•}};3t'r iyi;nr:ni
:i # ! ; ; ° T ) tt: ! I . Q PRIOR » i COVER nr :ifl } ) Ft
) ) } . .t ? tti .. .' : t +: , 3l „ REQUIRED R) . ;} : t :) v
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456-3604
; : 9r q9t: i : 39tY.a; : pt ixvL , ;jj:) mj:) THANK . ********** ********* *****:x.******} l :: . . . . ) t : 7j, ) : : 1 : ) ) : ! :).. f ) Uu ;
JOB ADDRESS: E / 3c)17 `p)
SUBDIVISION: la 5t-1f- 0a5 Wiz', C
Moo25 LOT: / 2 BLOCK--
�. ?cit-7741
OWNER: ZI�Ci ET/1 / PHONE:
ADDRESS:
CONTRACTOR: // g 00/1514UC7/r/1/ PHONE:
9c)4,- 8(-Nly
ADDRESS:
LICENSE # :
INSPECTION DATE:
TYPE OF OCCUPANCY:
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