1991, 05-14 Permit: 91002567 Sewer SPOKANE COUNi"if 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 Sx 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= 9i002567 ISSUED PERMIT DATE= 05/i4/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12401 E 14TH AVE PARCEL4= 22543-i123
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 001848 PLAT NAME= OPP.T -354
BLOCK= LOT= ZONE= AGRI DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 30
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= OVERBECK DARYL PHONE= 509 353 4733
STREET= 5411 % MOHAWK DR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DARYL OVERBECK PHONE NUMBER= 509 353 4733
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TRW A KH E SERVICE PHONE= 509 926 9378
%TREET= 11223 E 18T AVE
ADDRESS= SPOKANE WA 99206-0000
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/14/91 2848 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50,00 58.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING / WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8080)
SEWER STUBS' ARE TO BE CHECKED PRIOR TO CONNECTION TG INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
' •
JOB ADE:RE,SS F Oec
SUBDIVISION D - 11 3-T± LOT BLCC1
PHONE, 35-3 q733
// X' r Spo
CCNTRACTCR 7YU 3achitoe- M.~4 L Witliand PHONE 926-9378
ADDRiiS5 6. 11223 64/tieenilt Spelianfi, WA 99
,
LICNSE# 7T4'&45I95
INSPECTICN DLT E will call
TYPE CF OCCUPANCY
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