1991, 10-31 Permit App: 91007200 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS 4411
W. 1303 BRRIDWAY 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
r-. ;•.iii•.;:-.,._i.. : :. I
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Fr *r:"1!r:!'r ' f`i.,. -`y .t.:. NOT i {:`.i PERMIT .j{"7S"Pr*:!r'j}:
PENALTIES WILL BEASSESSED FOR COMMENCING WORK WITHOUT ;t PERMIT
SITE STREET= 13601 E 12TH AVE ��t.i!":t^•.:.t...•....... ...........22944-1602
ADREE= SPOKANE WA 99216
PERMIT t i.•i .s••.... SEWER CONNECTION W't.i....`s'^'...Rt::..::
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PLATO= 002753 {
PLAT NAME=
BLOCK= LOT= ZONE= AGRI
T i^
AREA= 00000000 I,a;i,D';H= ;..jl::.�`••' .. i=;;'r:�::::
4 ,((•• ;;,i D i }. DWELLINGS=
::,l fit i•j.:: DIET ._.
i ii,'ryi::.E'i PHONE=tNPHONE==
.t :.: i..,E.t i.Ott: _
STREET= 13601 E -I ..' i'4 AVE
ih't D j.a E";I::. . ... ^ SPOKANE WA 99216
CONTACT
ONT;C +AM : STAN pr T . t i ; a i ; • MB C= 509 922 4594
Y
BUILDING : EAK : FRONT= NA LEFT= NA RIGHT= Nr REAR= :f
: ) R } ) 1 : ?) ) ) r , } .); : :.} S t » R PERMIT j! jjf ijjj : jj: jny : ji: ijjjjj
CONTRACTOR= f•9 PLUS E_�..: i..:E.j;'+ �) i-1•: j in E ....j;'•{ PHONE= ... .. .... 4594
','•r:'r.•»:••::: i..i BOX 14. i:i. ..»tet.
ADDRESS='• SF'OKAiti;` WA 992.14
ITEM iJ .`-.E.R 1• I '.ON QUANTITY FEE AMOUNT
.................................................................................................... ................................ ........................................
PROCFSEING FEE 10,00
EEWER CONNECTION 40.00
PERMIT TYPE F+ iAMOUNT "
j
t iPAID AMOUNT OWING
,.::E.,1 ::'` PERMIT 50 .00
0 .: „'t•! .: .. .. '50 .00
50,00 .00 50.00
PROCESSED BY , !UIE
}'l f.:i = i..f
PRINTED B- • JULIE `-HA ! , H
: , W E; , i; AS—BUILT . Cs s - ' ` . ` AVAILABLE { T THE COUNTY
UTILITIESDEPARTMENT ••tt"•:. ._..;ty:
CONTRACTOR
ONTR4CTR OR APPLICANT . i FIELD . )i ; : +N% CONFIRM
� O H F IF
THE
t
ELEVATION SD P siE I .N OF SEWER , TUB PRIOR O ANY OTHER
EXCAVATION
TO
LOCATE, F;i'i„k}:vi ,. t 7 CABLES, t: PIPING, WATER LINES,
i ra» R i T " 4 ARE TO BE CHECKED PRIOR T_ Ti) INSURE
THAT T}..i,.. CLEAR AND D
i N ;' ;T � It EH” SEWER
E uE R MAIN
. . t :: ? CALL FOR s ' :PEi _ zIs PRIOR • « i - : 1* thk4iRn
j
******* K 24 HOUR EEIREQUIRED 9jj3u: (
.............::.:t:t:'.:?...:t:.. •.a'.:..:r.:,..:' -t ********* **** ****************K*.}:.
.!},.)y..yt.1...u;?}:9t 3k)':t::R•}!:•P.':t7'1t:')`a:•ft h yt.)t Js,y:j-.Jt 1,•jt,!.1..)::.& THANK t e�:: Y'1-�i i„j