1991, 07-12 Permit App: 91004158 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=.. .::= 9' '++'J4 51, APPLICATION DATE= 07/12/91 PAGE= 01
+}; :k t,.*:+!r THIS .E. Z'N i i I j••3 PERMIT *..*i,..;?'*
PENALTIEE WILL BE ASSEEEED
FOR COMMENCING WORK WITHOUT A PERMIT
................................................................................................................................................................................................................................................................................................................
SITE5714 STREET= AVE ... 2. 5..!c4-0302
ADDRESS= SPOKANE WA 99212
PERMIT UEE= SEWER CONNECTION .... SI 1.it•'t`HE ADDITION
PLAT4- 002396 ''I i I NAME= SLOAN ' S ADD
BLOCK= LOT- 2 ZONE= SFR DIST4-
e"!i'i>.':.f..j:::: 00000000 !../(..t.... :.. WIDTH= DEPTH= !'+.'i iii:_:
.!!. :..E .. .i:i; :::.. ,. a DWELLINGS- .. • i ....
OWNER- GREENWOOD : WARREN PHONE=
STREET= 5714 E 15TH AVE
?•t D{IRE::. ?:•:::: SPOKANE b i A 99212
CONTACT NAME= TLC t.: i•'J• 1 E'•.k:. NUMBER= 509 _.. 6760
BUILDING SETBACKS : FRONT- NA LEFT= NA L. RIGHT= NA R!
AR= NA
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CUNiRACIUk= ILL coNEiRUclIuN PHONE- 509 927 6760
STREET= 133.16 E 12TH AVE
ADDRESS- SPOKANE WA 99216
ITEM t J E_:RE,PEE.,fi s QUANTITY '!t`'!E„t,-.i`: I
PROCESSING -10 ,00
SEWER ... _.!!`-•EN :.CI•.E.Oy. xi.'.:', ..
PERMIT TYPE i..i::.i::. r.aiil_!t.N t AMOUNT E {•-i,•'.I D AMOUNT i i._iWi.;•G
SEWER PERMIT 50 ,00 .00 50 , 00
50,00 ,00 50. 00
PROCESSED BY : jULIE SHATTO
PRINTED BY : -.....i E E ,..L.IiA;'i i c.
[,i:.. y. ! ;..t,•....,:?U J.E... E E I`7:..:..iE :'t t.i.'Y.i i!`•f ...... Fa`v A i,t, A B _. i HI".
,
IS CONTRACTOR i.f i"•'. APPLICANT .I...::.r i,i ,.. LOCATE �.;!�:!i:+ CONFIRM THE
!...I_.i::.::i.:i i ;;;.. ••r.};:! POSITION �..i=.' SEWER STUB" PRIOR TO ANY OTHER
EXCAVATION
.i.
E LOCATE!... Bti.i!+.�.!...!.? CABLES ,.,,t ;} i:r t^i: PIPING, WATER LINES, ECT ,
..
CALL BEFORE YOU ..
SEWER STUBS i�=t r':!::. TO t �t k:. CHECKED PRIOR TO i :i,i N!••i i- i.: E i!':, TO INSURE
THAT i E_3E::. Y ARE CLEAR AND UNOBSTRUCTED THE SEWER MAIN
******K** CA : i !R INSPECTION
PRIOR!..!,'.: , t.r COVER a,:*•,{.*..:::*:*.;,,._;.
24 HOUR NOTICE E:;E... t I'' I.,! E, ..J+. J. !
.......... .......... .. 5•.:i.::::::333'.3•.:'.:•. r ..1..... .t:. ..
........ THANK
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JOB ADDRESS: S 7 f y /,5"-er41 S
SUBDIVISION: LOT: BLOCK:
OWNER: O.c/e_/GD/c-/ PHONE: .53 -^ ' z5/
ADDRESS:
CONTRACTOR: j�( � an.ar PHONE: 9d2 , C74d
ADDRESS: / 5 l 1
LICENSE # : T� 25 / O 1. /
INSPECTION DATE:
TYPE OF OCCUPANCY: