1991, 12-27 Permit: 91007437 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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= 91007437 ISSUED PERMIT
DATE= 12/27/91 PALE 01
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SITE STREET= 14720 E 17TH AVE:: F'AF'.' •I:'L.. Y -:26541-2704
ADDRESS='' F.'. F: t-T'1f�l1._L" WA 99037
PERMIT USE= SEWER CONNECTION -- VEF'ACRE T
*i*i* .aEE. NOTE= ii•*i*
PL..ATy:m. { 0=+ 20 PLAT NAtiE-: SOUTH ADAMS ADD
BLOCK=
? LOT= T rti ZONE= SF I't D .1.
AREA= F: / H- F WIDTH= DEPTH=
E'E1
i1 i= BLDGS= "= DWELLINGS= i WATER DIST =-
OWNER=:: FRIEND, G L.
STREET= 14720 E 17TH AVE
ADDRESS= V E"R ± DAE.. E WA 99037
PHONE=
I'�
CONTACT :NAME. :: H S CONSTRUCTION .•- �„L�.E LEONARD PHONE NUMBER= 509 9' A R9.;•4
BUILDING SETBACKS: E=I O T::= N/A LEFT= N/A RIGHT= N/A REAR=N/A
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CONTRACTOR=H & CONSTRUCTION
STREET= 11817 E:: VALLE::YWt- i` AVE::
ADDRESS= SPOKANE WA 99206
,
509
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE `r' 10.00
SEWER CONNECTION i 40 .00
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PAYMENT DATE RECEIPT PAYMENT AMOUNT
12/27/91 9683 ¢v1;.0if
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
---------------
EWER PERMIT
FEE AMOUNT
50.00
0"0(j
AMOUNT PAID AMOUNT OWING
-------------
50.00 .00
50.00 50.00
PROCESSED D F:BY: 0t (tI'T'F?CiVICH. ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION Is AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT is TO.1 FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES:, ECT.:
CAE...E... BEFORE YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•P:-n--1rP:><..a..r...;ci::• CALL FOR INSPECTION PRIOR TO COVER **•'P: :*ii***r:
i* it• * 1* * * i* * i* 24 HOUR NOTICE REQUIRED G IJ :FRE Ii i* 3* •a * 3* i* ii- tii• :a• a*
k Pb{Mii* A 456-3604 * * * *iP*PPP
t i * * * i i39R1ik li*NN:N}}A*jr 1 1: Rt P9THANK
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