1991, 10-02 Permit: 91004753 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
NUmt.iER= IESUED PERMIT DATE- 10/02/91 PAGE- 01
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EITE STREET- 11419 E 19TH AVE PARCEL0- 22542-2112
ADDRESS- EPOKANE WA 99206
PERMIT :i::,i.. SEWER CONNECTION .... NORTH Ki `"ii
PLAT0= 00-1393
PLAT, NAME-
LOT= ZONE= UR-3,5 DIET0-
OWNER= COOLEY
ETREET- 11419 E 19TH AVE
ADDRESS= ... . ,KA!`'•):', WA 99206
CONTACTNAME= DONNA COURCHAINE PHONE - 509 924 54O5
BUILDING SETBACKS ,' FRONT- NA LEFT- NA RIGHT- NA REAR- NA
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STREET- (;.: is:' k.:yt 11:i A-_
A .. S.... a?::.!'.A i.}F}...1::. WA 99037
T I I::.?"? ,...':?..:!`:...?.: I.'...1:f QUANTITY .'±::.::.. AMOUNT
PROCESSING FEE —
SEWER CONNECTION ne
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PAimhNi DAiE RECEIPTO AMOUNTPAYMENT
10/02/91 7163 50 ,00
................................................
TOTAL DUE= „00 TMAL 50,00
PERMIT TYPE ILL ;.:}i"t;..:±,.±i I AMOUNT i• AI.... AMOUNT OWING
SEWER ...i::... ,•,I.i. . 50,00 ... .. . :1}'' .00
PROCEEEED BY , JULIE SHATTO
PRINTED BY : jULIE EHATTO
SEWER ETUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
, ;
.t,.i.-. ! :�.. ;R OR APPLICANT TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWERi' PRIOR TO ANY OTHER
EXCAVATION
Y.! !...t.:i.:'.'. .... Vii' ..F.! - gAs PIPING , WATER LINES, ECT ,
CALL. BEFORE sfOU DIG (456—d000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INgUP
THAT THEY ARE oi FAR AND NNARTRHrTED Tn THF .'-7ri,iFP MAIN
..:...... }:.: .r.'IF; CALL FOR INSPECTIONPRIOR TO COVER.311.3' ,.. .................'..*
KK***K* 24 HOUR NOTICE REQUIRED456-3604