1990, 03-29 Permit App: 90001163 Sewer•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 approvalsor Certificates of Occupancy shall not be construed to
give authority to violateorcancel the provisions of any state or local Iaw 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
=,._IEC: T" NUMBER 9000'
i:)::6:*•1triiE#•ii•i4*)E*#*#***** Est•#*#*# APPLICATION
•TE=t 03/29/90 F'Af;F-::
APPLICATION
**•1k*#:**ri*ii•***IlJt)t•**P*3£•-if)1iEii•*Jt-hIt*i?-fi
SITE STREET= 12922 F ELOSSEY AVE PARCEL m= 27542-1544
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION --. E3601
.R.
r:l_ocK== 6 LOT= '5 ZONE= AGSUR
AREA= 000000 00 1"'/A= E-- WIDTI1- 95 DEPTH= 136 R./ 4
OF BLDG'S= t DWELLINGS=
OWNER:- SEAHOLM, W F PHONE= 509 924 (02
STREET= 12922 E FtLOEEE:Y AVE
ADDRESS- SPOKANE WA 99216
CONTACT NAME= LEONARD -- H & S PHONE NUMBER= 509 92/ 994
BUILDING ,SETBAC.K:S : FRONT= T:::: NA LEFT= NA RIGHT- NA REAR= NA
k X) **at• **x•**•****•ttr:3'3 **•x>*••x3e•x SEWER PERMIT *********************y
CONTRACTOR= H !• "' 7NSTRUCTTON
STREET= 11817 E VAI.,I..EYWAY AVE
ADDRESS= SPCA'. •'F WA 99206
ITEM DESCRIPTION
1=HC',7_ 509 92A 9964
QUANTITY FEE AMOUNT
PROCESSING NC, F'c t 'r 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEF AMOUNT AMOUNTPAU:D AMOUNT OWINr,
, r-. r. .,r, '70.00 .00
50.00 .00 50,00
JLD P .TTO
JULIE: SHATTO
!]:I,_. AVAILABLE AT THE COUNTY
UTILITIES DE PARTMEN'T' (456-3604)
CONTRACTOR C:IR AF'F'I.-]:CANT IS TO F1:ELI) LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OE= SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER 1...7NiE::t, FC.(.
CALL BEFORE YOU DIG 456--8000)
SEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNFCTTON TO TN,^•.I11"t1...
THAT THEY ARE CLEAR AND UNOT::"':I:PTED TO THIS SEWER MAIN
******•u••u* CALL FOR :I:NSF'FCTTfIN PRIOR TO i:Iv R; •u****•x•**
k***-** k 24 HOUR NOTICE REQUIRED *****a*r:�t, z:
xx***xuxx 456--'36u4 >>:*•x**•x*xx••x
i-: # * 3e * * h? * * * * hF tiE # 9t ii• : " : r. 'r' ?E # ri it i4 X # # * THANK You ******•********•******.ti