1991, 09-18 Permit App: 91005831 Sewer 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 itted by me or my agent n 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
PROJECT NUMBER= 91005331 APPLICATION DATE= 09/i8/91 PAGE= Oi
*»**** THI% IF NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=%TREET= i3401 E 12TH AVE PARCEL�= 22544-1517
ADDRESS= SPOKANE WA 992i6
PERMIT USE= SEWER CONNECTION - WOLFCRE%T
*** SEE NOTE *«*
PLAT0= 0009'73 PLAT NAME= GEORGE ' S SUB
T 5 70NE= AGRI DI%TO=
BLOCK= OOO-2COOO A= F WIDTH= DEPTH= R/W=
0 OF BLDGS= 0 DWELLINGS= i WATER DIST =
OWNER= DONAFUE PHONE=
STREET= 1340i E 12TH AVE
ADDRESS= %POK(-NE WA 99216
CONTACT NAME= LEOWRD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FFONT= NA LEFT= NA RIGHT= NA REAR= NA
********************`******** SEWER PERMIT ******************************
CONTRACTOR= H CONSTRUCTION PHONE= 509 926 8964
STREET= 1181 � E VALLEYWAY AVE
ADDRESS= JPOK( NE WA 99206
ITEM DE%CR] PTION QUANTITY FEE AMOUNT
----------' -------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNLCTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O.00 .00 5O.00
50.00 .00 50.00
PROCESSED BY : JULIE . HATTO
PRINTED BY : JULIE ,'HATTO
SEWER STUB AJ-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES )EPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION oND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE .iURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFOR[ YOU DIG (450-8000)
SEWER STUB,: ARE BECHECKED RI TOCONNECTION TO INSURE
THAT THEY 'RE CLEAR NUNOBSTRUCTED TO THE SEWER MAIN
********* `� O
ALL � R INSPECTION PRIOR TO COVER **********
* ***** -- 24 HOUR NOTICE REQUIRED **********
* ***** 456-3604 **********
******************** �*********** THANK YOU *********************************