1991, 09-18 Permit App: 91005826 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= 91005826 APPLICATION DATE= 09/18/91 PAGE= 01
3tn-*,'-:Ic-•'r•: ! ; ? . � NOT? A ! h ks p*
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A !' ERMI. .
SITE :.11 1 iE€»:. f ••_ 13207 E 13TH {'i s L.. !"f-?F;C»:.i...,•._. 22s44-22V
ADDRESS= SPOKANE WA 99206
PERMIT 4 3F = SEWER _ 4 '; : : a _ E _ xi - __
......
PLATO= 002753 PLAT NAME= VERA
BLOCK= i ; LOT= €tiv€ {.:€?,-> !_: € :, € .N....:
- r r
ARFA= }�0_l,_l;»t'000 l^,�A= WIDTH=? DEPTH= r,°,/W_:: 50
-K• OF BLDG,.... 1 N DWELLINGS= '! WATER ER 01.x• ! '••-
OWNER= DAVIS, PHYLIS
PHONE=
STREET= 13207 E 13TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME'' LEONRD .'F )Nl. NUMBER= 509 926. 964
BUILDING SETBACKS : FRONT= NA €LEFT= NA RIGHT.. NA R::AR:::: NA
'lt:yi}?•7C-R'*h'il:h 11:R'It.lk}k•Ai'ik.1•:.!'•:1:-J'i::'F:•li•7:''14 Y:'1:t::: :)€::.tai E?'{ PERMIT *•n:* :•>:•.:*•n:**•je n••j:•n;-i=;•u;:R..p.:li•'li}:••n;•ii••jt•ii•x u*-u:*
CONTRACTOR= H & .3 CONSTRUCTION PHONE= 509 926 8964
STREET=jt s • AVE
ADDF SymS:::: SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMi_?t.?N !
PROCESSING FEE T 10.00
SEWER CONNECTION 40.00
€ j I ! TYPE ? LLAMOUNT P , ?NPAID A" !? NiOWING WING
SEWER PERMIT 50.00 .00 50.00
50.00 ..00 50.00
PROCESSED
SHATTO
..:
•; rED B:, ...I €, , r
PRINTED Fi.+.Il? 1 ?::..t? iii .,;.:1....?.C:. �E r'?{••t 1 +^:
SEWER UB AS—BUILT INFORMATION IS AVAILABLE AB .E A ? THE COUNTY
UTILITIES 1..t.:A€_ # t t:•N , (456-3604)
CONTRACTOR OR APPLICANT IS TO i F "t,: LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
T , ., •} , r
TO�,j I._t,ti•i� ? F:. BURIED 1.:��i��?...�::.,::• 1 i.vW?:'r I.:�.1 .?.:'+7€,., Ia,{w i:.#' 1....€.tti::.:S t ?::.?: 1 .:
CALL
BEFORE i i.U
l.:f•11._?... DIG to (456-8000)
S
E E R STUBS AR ETO BE CHECKED PRIOR TO CONNECTION TO .?.!'K,k€..?R
THAT T?ZEA.}. ARE '€...E::r`?R AND UNOBSTRUCTED TO THE SEWER I MAIN
xj a ahe kniCALL i : 4INSPECTION - ;" CF TO COVER i Ain7iv **a
n•r::•iz-*-N•»-?r:K•* 24 HOUR NOTICEREQUIRED **.* 4i;:••)'ie i`:•i:•
•ie)�•7r 3*3-'1}'•11:n••r: 456-3604 :: li•a:il:n n n i!n:
i9R*99 *1bk 3 k i *Hs ! * ti ' } t P 7 i 9 :17THANK j'€..-€,t *********K***********************