1991, 11-01 Permit: 91006096 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 prmit/application is true
and correct, and authorizea ku County to proceed with processing. In addition, I have reaand 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= 91006096 DATE= ii /0i /9i PAE= 0�
**************************** PERMIT INFORMATION ****************************
sITE %TREET= i34i7 E i5TH AVE PA7,:CL�= 22544-2453
ADDRE%%= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - WOLFCREST
*** SEE NOTE ***
PLATO= 002753 PLAT NAME= VERA
BLOCK= 179 LOT= ZONE= AGRI DI%T4=
AREA= 00000000 F/A= F WIDTH=
OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= ABBOTT DEAN E PHONE=
�
STREET= 13417 15TH AVE
ADDRESS= %POKANE WA 99216
CONTACT NAME= %IMP%ON SANITATION PHONE NUMBER= 509 926 478\
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= % MP%GN SANITATION PHO�E= 5O9 �26 478i
STREET= 712 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%INC FEE Y 10 .00
SEWER CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****** *** * *** * *****
!- AYMENT DATE RECEIPT-4:: PAYMENT AMOUNT
11 /01 /9i 8260 50 . 60
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE
__ FEEAMGUNT_ AMOUNT PAID AMG;NTOW[N�
%EWER PERMIT ___ ____5O ,OO 5O ,OO , 0O
50 .00 50.00 . 00
PROCESSED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THF = wTY
UTILITIES DEPARTMENT ( 456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CnwFInM THE
ELEVATION AND POSITION OF ::7EWER :.;TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, OAS PIPINu , WATE� LIHE% , ECT .
CALL BEFORE YOU 'MI; � 45 -�OO8)
SEWER STUBS ARE TO BE CONNECTION TO TN% RE
"fl.-!AT THEY ARE CLEAR AND UN TRUCTED TO THE 2.:EWER MAIN
********* CALL FOR INFECTION RELOR TO COVE::,:. **********
********* 24 HOi!R NOTICE PECUIRED **********