1991, 09-18 Permit App: 91005819 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005019 •?t"r`L ,..:A-# i,i„ttd TATE 09/10/9i PAGE= 01
**fi'asrt•3r THIS IS NOT A PERMIT *•3r;<3r:!f•,!.
PENALTIES IES WILL r:t_. ASSESSED FOR COMMENCING WORK WITHOUT Hc:tf i i PERMIT
•
SITE + ; i:t::.t::. 1 == 13307 !_- 14TH A V L:. r f'tt'':E..:C:.L..'H'_" 22544-2-124
ADDRESS=.- SP k WA 99216
PERMIT .USE= SEWER :: ONNEi CONNECTION -" WOLFt.`•i�:E, 1•
*** SEE NOTE. : *y'
PLATO=t O= t_;!•;': r!5 PLAT NAME::::: VERA
A
SFR
" ;
BLOCK= 3 i�ti:J LOT= ZONE= ,:i 3 }: # .Y..... i
AREA= O"jO(�('('i::}!:: F•t'A::: 1:- WIDTH= A?tEPTH R/W= .40
.i. OF :o 1•E s.... .n. DWELLINGS=
WATER DIST
OWNER= WHITE PHONE=
E:.:_.
STREET=:ET :: 13 •' i= 14TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAMEa:: LEONARD PHONE: NUMBER= 509 926 0964
BUILDING SETBACKS : FRONT= � fLEFT=t = N RIGHT= NA REAR= fVt•?
3t*3l'*3i 3!'IL 3+:P.3+..}(.*.}..Ji:9i:•F:•P:•F••h:* ;t!i:ii:it' :•*:{ ;EWER PERMIT •;i•%i••P:*•A:•;t.i?..b:•** l'9i:'%i:•;t..R..}i:..;l N:*';k.1{..P:•fi:•;t•N:•P:'P:ii.*'}i:
CONTRACTOR=
ON «RASOR : S CONSTRUCTION
ONS RUC iO PHONE= 509 926 09
64
STREET= 11817 I::: to HI...LE:Yash?'Y AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10.00
SEWER CONNECTION 1 - 40.00
0
PERMIT TYPE FEE AMOUNT AMOUNT PAisD AMOUNT OWING
SEWEr? PERMIT 50.00 .00 50.00
50.00 .,00 50.00
PROCESSED CESSE-t; ::,tY : Ui_ll_.:I E S t fATTi::I
PRINTED BY : jI_JLIE: SHATTO
SEWER « t IAS—BUILT id r M" ; I 1E AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OF APPLICANT IS TO FIELD LO- ATEAND CONFIRM THE
.
ELEVATION
AND POSITION O: SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,ES GAS PIPING WATER LINES, ECT.
CALL.. BEFORE YOU DIG (456-6000)
SEWER .TUB "FE TO qE CHECKED .I . TO CONNECTION TiINSURE
THAT THEY.Y fb?F'tt: CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
**ri3+:A•ItAAA g.,f'?I...I... FOR INSPECTION PRIOR TO COVER
•}r k}4..A..R..;i*•u••n n
3l3±•3E'****** 24 HOUR NOTICE REQUIRED )f•ii•)!• '*'}t•)k•*!t:it'
".3(. iii.:3t'k*•';i: 456-3604 ,,..-;i:u;iir:*..it.u:
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