1991, 09-18 Permit App: 91005818 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
Ro..iEt.: 1 NUMBER= 910t•?:::+E31 APPLICATI C3N DATF= 09/18PAGE=
.?:•.,?..,?..1;•P:1?• i I"}a.::: IE t'•,},t } A PERMIT :.i•;,i•.!i.h 1!'):•
PENALTIES WILL ... :., :•t FOR COMMENCING W jRK WITHOUT +! PERMIT
SITE STREET— 13620 E 12TH AVE PARCELO= 22544-1912
€l i t.•f.t.•?.+:E...... •' :..:'O K A N I::. WA 99216
PERMIT •:EE Er.+ CONNECTION
r.. i,tE... t :•„ ....
WOLFCREET
PLATO= 002753 PLAT NAME— VERA
BLOCK= 175 LOT= ZONE= f.:t t:r R.}. 3.J i .,+'} .. r.
f.
AREA= 00 000000 r•• . , WIDTH= DEPTH= r.: 40
'?* OF BLDGE= ' :^ t J is t^: Y t,r8},.„ •• '} WATER DIET ....
OWNER= I..I is t!' •!:: t ,.,# PHONE=
AVESTREET= 13620 E 12TH
t-1;:i.}i'-:i::.S^,:::: SPOKANE WA 99216
CONTACT NAME= LEONARD I"'`1'-1}11+11;' NUMBER= 5 0 9 926 6 .',° 4
:`t.!.?.!...!_}.}.Nt,V SETBACKS : FRONT= NA 1...t::.I-'1•::_ NA RIGHT= NA R.EAF':::: NA
... ...... .. .... :•,,...,,E...r•. r•................
�!• +r•;'r•N:•P:j+i:}t:??..p;g?-p,..)?:.j¢.),:.i,}:r..pi•P:'P:•P:9k.j,..f,..},..�..j::�(;1g.1!i .=.�•tAi:;}"•. t •j,;.k•i!t Pr.,;•iti•!ri lh 1!i.k-}!i•Pi'fit i'!i lU:k 1?r•P}:,i*•1!r**•is i+k L''1!i iii i+ *
CONTRACTOR= i i S CONSTRUCTION ,�{•yi,tj'al::= .:%;:?:% `?'::.`. s 8964.•`TRI...`:.I•::.. 11817 u`r•"•t c:":r''JA+r AVE
(•}:,?!1}' EES::: ,`ri`O},'f';•EIJI: WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCE
EING FEE 10,00
EWE};.. CONNECTION } 40,00
PE:RMIT OWING
1••t;;,i;;, !y}";t.,i t„t;`•? } AMOUNT PAID AMOUNT it ti++i
EEWER PERMIT 50,00 ,00 50,00
t-'t-{t,t .F- t i •i t,i t }” .`Fir; `! }
PRINT.. :,
EEWER ,:i 'B AE—BUILT _INFORMATION IS AVAILABLE AT ..t:. COUNTY
tl it'W +f
UTILITIES ,,E,.:A t•': t tvt f••'':i (456-3604 )
i.,c..3 i''•i i }"•:($t.: } »)}•i OR,•, A}.:t.:Ir...Ir c•T i'+1 :; TO FIELD t t i,.A i • AND 1 I,:t}N I" .f.:'M THE
ELEVATION AND I''l.#:::.i. I .ON OF SEWER STUB UB .`I':.}.t..R }"9...t ANY OTHER
}':?...R
EXCAVATION
` ,., :' ,.. -.a.�: ? CABLES : }, PIPING, WATER , ECT ,
CALL M 1;;,}-•!..i R E YOU- DIG ?. 'tt...•*(':....i::i!.:}`•:J?.I,?
SEWER STUBS ARE TO DE CHECKED F-R.'3.OR TO
CONNECTION TIEINSURE
SEWER THAT} i Hi::.Y ARE CLEAR R ANDUNl.1B,`a } RiJt..,T C:D } i_J THE EWE-.t•t: MA :.N
}•;,r.:}. ,.;,;.;..,:•3t• r• HOUR
NOTICE} tPRIOR
L } t ...TO
COVER 1rrrrnn Ara
: r H : 1 _ : } f } ? ; rs . * : r , „
;!r iii.li'R•tUi•t{-.+i.,i.!i 456-3604 •1k:?.:,r•1?: !:?!: a.a1,.h.
:} a } ?1 : : :: u ! a ! ;} ? axa :: ? : : a1J : : THANK+ ' you ) „ ;; if3: : rrJr: : : a : : :} fa :3 {N ;R :1Jr