1991, 09-19 Permit App: 91006074 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= 91006074 APPLICATION %A' .. . 09/19/91 "A -rc : 1
p iF. ')'•'r THIS .#.:• N O { f•t PERMIT r,')'i ii•ii•
PENALTIES 1 „IBE ASSESSED "_ R COMMENCING ; ORWITHOUT APERMIT
t . {
SITE STREE . = 13125 E 16TH A 4 E "At? iIr_ 22544-2364AD ?`t,•=:E :: • SF OK ANE WA 99216
PERMIT ?.JSE::: SEWER CONNECTION .... swc.?LFc::fl:.::.S t
*** SEE NOTE ***
;:;:! i",'R._„ r.:•.r.•_.,,......r
PLAT1...{••, # v._. t»r t»r::� i_i.� NAME=
t E. uER-
Ol? . _
LOT= ZONE= UR-3.5 tr :;1
AREA= 00000000 F/A= r' WIDTH= DEPTH= R 40
OF BLDGS= 1 r DWELLINGS= n ,•Er :
OWNER= LILLY, ROBERT PHONE=
STREET= 13125 5 I'. 16TH r' ?F
ADDRESS= SPOKANE WA 99216
CONTACT
;'" tCT NAME= t # ? PHONE
L }CyU'rrC= 5e9 9: 7 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR..
NA
h n•it:H: :•i Ji*R•*•*-ii•P:P.•*9t:je;):*t':'P:* :A:rt•P:P:** SEWER P E:.P#•i I #' ************************K*****
CONTRACTOR= TLC CONSTRUCTION PH ,N:
. 509 927 6760
STREET= i3S16 E 12TH AVE
ADDRESS= SPOKANE O; x �I + i 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING ING FEE.: 10.0-0
SEWER CONNECTION I 40.00
PERMIT iYE' FEE AMOUNT AMOUNT PAID AMOUN-, OWING
SEWER PERMIT 50.00 ,00 ..
50.00 .00 50.00
PROCESSED BY : jULIE SHATTO
PRINTED BY : JULIE A'HA T !•O
SEWER rT B AS—BUILT . NfR " aN IS AVAILABLE "f THE" COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT 7 S _ EFIELD LOCATE
L EC A iE A t„ CONFIRM
s_E
ELEVATION AND POSITION OF SEWER STUB : ; r . = TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, PIPING, W T' L.is NE,, EC::
CALi... BEFORE YOU DIG (456-8000)
)
SEWER ETUDE .. DE CHECKED PRIOR { O CONNECTION 1 O INSURE
SEWER t:�l#::.r': :.'.- i a!A:t..� ARE E'',::. t t.3 Ai 1::. _
ARE THAT 1.THEY t•3C:.i'; CLEAR AND UNOBSTRUCTED TOI .':#::. SEWER Mr•a.t?`•.
'u•r.:
p .
•it•*•s•:•r::•rt:•n:•rt• CALL E"O I:'•: I:t''1.S f'U T.I.?:J E� PRIOR TO COVER si•*ii ii*•ii•ii•3e*•ii•
*4C•r•:•*:e}-*:N•:a.-* 24 HOUR NOTICE i'lI:i;;I..J.EI?.::..?? tr*•r.•iF•3i i~:•.. r- z*
::.* •-• 456-3604 ..-N••ii•liii3i.i{-...*
**********************K********* THANK y::
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