1991, 09-18 Permit App: 91005836 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
PROJECT NUMBER= 9900 836 APPLICATION ION i}A E:::: (;}9;'18/91 PAGE= ::1
j}'.**tj.:k* THIS I i N.O #
A PERMIT i ! 1J *I
PENALTIES WILL 3 ? ASSESSED' ifCOMMENCING WORK WITHOUT A PERMIT
:.;I : E STREET=E•s?::.ET'=: 1 . s?04 !E 13TH Au E . �ti CE5...•}r'_- 2....544- .:.. :'... t
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER :OIN NEC i•):ON .... WOI_.FC:RES i•
H"*': SEE NOTE E •L.X:• L
PLATO= 001 PLAT' A-? NAME= OPP< j R. 1 -354
BLOCK= 178 LOT= ZONE= AG
" 1E {_ Fi A= » WIDTH= 160 DEPTH= 64 .rA= 50
:n OF B?...D#-••,.._ .,t DWELLINGS= 4 WATER
j fA,l..,.:-R 1'},; ._.
OWNER= # f1 KGR, t :R t PHONE=f � F � :: y Y: �t85
STREET= 13204 I:` ., : "R"F; AVE
SPOKANE ixi r= 9 2 0 A
ADDRESS=
CONTACT NAME::: LEONARD
P: ;NENUMBER= 509 926
8. 64
BUILDING SETBACKS : FRONT= y. LEFT= NA RIGHT= v• REAR=
NA
.k h:•tt R-• P•.i A:**''}t''***.1:*•A:.!:1t!{ P:.ri.t x.l•* SEWER r•.'•••R r t •: **R**R R*-a:•F:*'}!:"N:.4•....!:...1:.i"P:R"
t, g , P: ::::
•.. '� CONSTRUCTION � t •!r• •'xt-J-•,• `�''%rj ,•i r,�f`
CONTRACTOR= 1# � ,_ ?'1 t..r........ ... .. ; ::... .. Y
STREET= 11817 F: V f i 1. I...I.Y WA Y a`'3 N F
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUR. ?
PROCESSING FEE :t 10.00
SEWER CONNECTION 1i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER 50.00 i.
PERMIT ,00 �..>0: L_a0
50,00 00 .,00 50.00
PROCESSED ."r.:s ' : :..t.??.. It:. ::>?..?A r ? t..?
PRINTED BY : JULIE SHAT
T•1:
SEWER TU AS—BUILT NFORI: rA 'ON IS AVAILABLE" A r THE COUNTY
r
UTILITIES DEPARTMENT
(456-3604)
CONTRACTOR
ONTRfCT „ 7 : APPLICANT I , TO FIELD LOCATE Ad TCONFIRM T EE
ELEVATION ANDPOSITION OFSEWER STUB PR:I.OI° TO ANY OTHER
EXCAVATION
TO LOCATE BURIED t.:t•iF=t..E::E, GAS i F,F f,?'•1(Y J• WATER LINES, ECT.
CALL.. BEFORE YOU D E:G (45t)-0000)
SEWER ST! D > AFE TO BE CHECKED PRIOR
F : : ; ° O CONNECTION TO INSURE
THAT " "„ Y ARE CLEAR AND UNOBSTRUCTED TO THE SEWER
MAIN-
********* CALL FOR INSPECTION PRIOR ... COVER
***K*****
9 ) } ) ;4J7i $ HOUR NOTICE tEIti ; J Yk ik 9l R3t'};.}i-**9±'
:}}.3,..ri•P:•R•;k•7k ji:•jE: ' 456-3604 )k 9t•*"h:•*.t.l•.k 9k'9k•
* ***********************K** *** THANK
you•..? J:9t 7t•:@"-JL'4 .L'9E.h.t•}k 9t-9L-42'•P.•.,?'}'.'R"•JL"'Jt 1t'*R•N'4t'"7L-'7k:$'a 9h 9t•93:•X'