1991, 09-18 Permit App: 91005827 Sewer SPOKANE COUNTY DEPARTMENT OF BUILT INGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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
I
PROJECT NUMBER= 91005827
0058 . f APP''LICATI.Ot`t
*• • ' * THIS , . N iA PERMIT + � i iA k '39/18/91
} ? . ` 1PAGE= ±
PENALTIES WIL_i... BE
ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE _ :: rw - 13218
?2' " F 13TH
* t ti : # tti?. ..:.?... r_ 22544-2238
ADDRESS=
SPOKANE WA 9920o
PERMIT USE= SEWER CONNECTION .... WOi_.F CI•'•`.v::: i
PLATO= NAME= VERA r..,...a
BLOCK= 177
Sa: I'# f#••• :_�a_t::::: �-•
0 OF
" DWELLINGS=
OWNER= "iCID ?If, DALE
STREET= 13218 tI ,`ti` fiE
ZONE=
- a: : ' :
, WIDTH=
DEPTH=
E - :
WATER ! 1 * l
PHONE=
" : -
r:9 iY.:.s
ADDRESS= SPOKANESPOKANEWAWA .? 0Ci
CONTACT SAME= LEONARD . PHON :. NUMBER':::: :;• r: 92689.A::}
BUILDING SETBACKS : FRONT=3T::r. NA LEFT= Iify: RIGHT=I :::: 7'••,A REAR. NA
-}C 9{•A•A'9t•9{71'fi.'A A}t'A*•}¢•.'!-!t i A}i A=n:A A A ii••};•;`i.*.ii. SEWER PERMIT 'P:k.M..a..Je A A A•n:ii a:'it'a;A'ii'A A;`t.it..A.•a..p.••}!i!:*•}i it•*•b::n:
{,; ,i CONSTRUCTION PHONE= ..i':?':r 926 8964
,,4
STREET=EET=:: ? 1 8$ r i::. VALLEYWAY f"#V I.
ADDRESS= SPOKANE WA 99206
ITEM t -DESC ;I.,' 1 _.i. fy QUANTITY FEE AMOUNT
PROCESSING `E_:.
10.00
SEWER CONNECTION I 40,00
PERMIT •r:.(.. FEE AMOUNT AMOUNT F:A.1.D •YMOUN . OWING
€
SEWER PERMIT 50.00 .00 50.00
5!0Cti r, {7 ., 5!:J
C..r,
.0 0U a 00
PROCESSED DJ. BYJULIE
E :•, laTTO
PRINTED B`fr . j i t....!. :- SHATTO
SEWER � st F :. � ; ! iINFORMATION
.,.• AVAILABLE t�? ! THE;;:. t..,t..!t._!'! ?
UTILITIES DEPARTMENT ! 456-3604
?
CONTRACTOR Oi"•'. APPLICANT
IS TO• FI.ELID LOCATE AN
CONFIRM THE
s•'t...t:.1'f i ; i,}N AND J Pi.1 EI1It !,1 OFSEWER STUB PRIOR i i 1 ANY Y t.'t H i::t'
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER Et'•'. I... NE ECT.
CAi-..i_. BEFORE YOU ID.t.i; (450-8000)
ARE r..
SEWER STUBS Pt Yi BE CHECKED t-`5;I!,i#•i TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED ! i THE SEWER MAIN
AAA ' ' ) ) * CALL FOR Fs I.N f''E:.t:.:T.L O H PRIOR 1 i.l COVER
F!' -456-3604
r*A A k iA AA
..AAAlAsaHOUR NOTICE REQUIRED ; A} AAA*AA*
; . AAPP
r: -� :.),tet_..,115 0 s•- 'P:i!-R1!-'P.i!-it-R:it:ik
'ii•:!L A l?•)t JY*'JF•}'•3`-:'J!:•}`);•1+•1t•A•lt'f?.!:-*:!!:7 :i`.9i 1•:•J`•!'*'it•:!t:t-J': THANK i i..i.{ ''tk•}t 1!:1F-7t-9F-i{•)F)k}!• k A•Jt'jh A?k A A 3t'it'!t'•A A A A R' C:!?•A•A•J2•'t(•ji•