HomeMy WebLinkAbout1991, 09-18 Permit App: 91005832 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 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
!'"! t_!•_!#::.i.: ! NUMBER= 9100'.3832 s Pr'x....#.t.:F'i_! _0N .DATF= 09/1R/91.-'1 :•Al E-" 01
}t.ji.1}:)'' :P:
u . I # : � NOT- ^ PERMIT
7 **) 9
PENALTIESWILL BE Arr# SSEi FOR COMMENCING
WORK WITHOUT A PERMIT
SITE STREET= 13609 E 12TH AVE F }i" C 22544-1603
603t
ADDRESS= SPOKANE WA 9921 6
PERMIT USE= SEWER CONNECTION .... W tfi...F c::REST
..... :,E r-- NOTE
,_.._E 1.•x-}i•
.R:.... 002.75:3 PLAT NAME= Vfi:'RA
1;
A WIDTH=
AREA= 00000000 �• ,'}:.t_. L•j >♦t11 ;v.} I f•1::: , },... .`lt#::::
•»' OF !:+#...!}?.r,•..., } 'x• DWELLINGS= } WATER DIET
t!at!•:f{..,#,;:::: COOK, CHARLES PHONE=
STREET= 13609 E 12TH AVE
ADDRESS= SPOKANE WA 99216
t•,
-,.•.t Y'r.:: ,,•••r,- ANV a r•.s•. PHONE d _fh _f _ 509 9 , ,
8964 BUILDING 5E , ;A ,t: - FRONT= ;t # { : . t ` RIGHT= .tR -
fc= Ne
i.:asr:.rn (. :N : j ;ax. :* ;nn. :*: : aa .s :# : # : PERMIT# ifii :***P**i : nP **Ph ****u .1.....
CONTRACTOR= H ` CONSTRUCTION
}N • ! » # I ; " :: , _• 509
926 096 ;
STREET= 11817 ItE V " _itbWYi
AVE
;:]92
ADDRESS= SPOKANE :.t PF x_}+}i:?
ITEM EM DESCtiI•t' # ] l!N QUANTITY FEE AMOUNT
•
i' f j ;j::'' .l.!''di,F FEE 'x• 10,00
..: ',I .. 't}-n':;'•Y Y_r'T::r O , 40,00
PERMIT} ! i } t::. F#::.!::. AMOUNT AMOUNT PAID AMOUNT} i_;txt ! !',},
SEWER PERMIT 50,00 ,00 50.00
50,00 :.00 50 ,00
PROCESSED • - jULIE SHATTO
SEWERLSTUBAE—BUILT INFORMATION ISAVAILABLE AT THE COUNTY
:! ! ; I t I I.#::.'•. DEPARTMENT ?. sv..: — •..}0sv1
CONTRACTOR
» \ eRa_ T ,R O R APPLICANT # : TO FIELD h _ +
E IAND CONFIRM { •.I::.
ELEVATION ( `iPOSITION t..!. SEWER STUB PRIOR } 2,1 -fi N�x• OTHER
EXCAVATION .
_..! LOCATE B !# I.ED CABLES, GAS PIPING, WATER ER. II.N[=E, , ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER
rrR ......PSARE TO BE CHECKED
" r` c TO
CONNECTION TO INSURE
THAT THEY •~#:;}.' CLEAR i' AR ANj! UNOBSTRUCTED TO THE SEWER MAIN
•x,}:**n:*'n::}t* CALL r.t..;R INSPECTION i-'i'c i f)RE.! COVER�;!••..� •ii•n:ve:55:�n;it ii p;}+:'ii
*:! *:=i•i}5:*:_ :};'r: to HOUR i, ice' N? 1 .{.F-:i-:. REQUIRED. !t.*j;.i,?-:,i.•r•i;•i i? }:
r. . ..
; } t h) : : ) 9 ! f ! ; ?! r i: } ?: i; * q ,! : } ! THANK i% ! ç.ry] } : (j } 3: : i: ii t: : : S : $(.: ; ; 1 7 :