1991, 09-18 Permit: 91006013 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 91006013 ISSUED F:'ER1"iIT DAA"E:::: 09/18/91 PAGE= 01
} N k A.A ! ! A it P HAL t+ 1 1 )L J !L N*'P:'i t JL i?i 'P p E,t.??I 1 a,N#-'i?i•t?"1{••? i ,,!-!t'•J •+:•P.'tN 9k•J?••A:ik**'R'ik 9!:•#(•'P:')(••P':g:'1(•3+:3+:-:+:'J+:'P:'::L•-&4C 9h
SITE ' REE -: .13207 E 16TH
` :^ F4E • a -( rEP: 22544_ 2380
ADDRESS= SPOKANE WA 99.::16
PERMIT USE= SEWER CONNECTION
i!;h:'* i E E NOTE -A::..2!:
PLATO= 1h :753 ',
1 -
NAME= ...-i A
BLOCK= LOT= ZlONL-. UR-3,.5 D;.Ei:::-_ i...
AREA'?:::: F'/A= F WIDTH= 70 DEPTH=t',.•1= 150 :: :. -!
OF BLDGS=
4 DWELLINGS= I WATER DIST .... VERA
7
(� n
OWNER= ,.7t.!I-;t EN.,:; , DANNY PHONE= ,•J r 4 5506
+''t
STREET= 1 1 '� ? .I.?•?r{(:.1' I...A N I::. ST
ADDRESS= ERA ALE WA 99037
CONTACT
NAME= DANNY
. • N, ^; : - . ; PHONE NUMBER"
509 924
5506
' BUILDING SETBACKS : FRONT= 35 LEFT= ;' "€ REAR= NA
5,;3+:i(•ii:i+:1(:-i•t+:A•-)}:•JL 7(•JC k)f R•is iL-9t-•!!::tt 4t•J+.')+:)L•1!:'SL•9L•P: `f;.!!d I':.S"4 t"''J::.I':I"S).T *****************************K
r....
i.;i lt',! t #"•:i•�?!..- ! t.!#, t??^JI':N:.:1xtt.;. PHONE=
STREET= UNKNOWN
4r•N
ADDRESS= UNKNOWN i~iA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
I"I'_i"1 t.t F.C E J.N LY I"I::.!... Y
CONNECT:r N '1 4.;2.?»}0
.. . .... .. .... ........ ...... t. .. ........ r-..:Y M E ti ti i i'v i 'i 'n 'v i -'i 'i i
i? !:ir•;?••Pi i!•-R•-1+:4L•$!i i!('Jk 9k-A:;?••P:'1?'h)(•'Pi•s2:1?••Jk 3(••d:$k•Jk??••P:it•2?' r`�•i T;i 1::.!-� ! :.:1.!I"?r9 E 3 1•i`(• •R•-Pi 9:Y:::3:•P:•P:::9k t:•Pi•A••P:•.:•SC N:R N:'1:•P:•t:•P:ti 1C••Pi it 4:
PAYMENT DATE ,.,.t.•I:_.I P ? :;i: PAYMENT?:.t:.. AMOUNT
I
09/10/9i ,^t,_"} r1 50...00
TOTAL r: DUE=t ,00 TOTAL PAID= 5000
PERMIT i t 'I, E FEE Ai"IOUI{ , AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50,00 i'1lJ
PROCESSED B Y • :IOHN LARSON
PRINTED BY : ...7OiHN LARSON
SEWER STUB AS—BUILT INFORMATION tS AVAILABLE Aw
-t r'i I::. COUNTY
UTILITIES Al;-.I"t^R t t"1,:N1 (456-3604)
04
CONTRACTOR OR APPLICANT IS fl FIELD LOCATE: AND CONFIRM THE
ELEVATION AND POSITION i::iF" SEWER STUB PRIOR T?7 ANY ,.. IrH!...?,
EXCAVATION
TO LOCATE YR, E CABLES, _ t S PIPING, ht - ? FLINES, ?
_ . .,
CALL BEFORE YOU ... .F? (456-6000)
,•. r•.r.. ,. , ,.,,.. r.!!r..r,,,r..r•. r:,r:+T rt r:: r r r'-r?r..?m c n T T n m Tn ;•ra-.=IIIA=,:-