1991, 05-14 Permit: 91002581 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 issupnce 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. ':visions 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 5
/ 9
PROJECT NUMBER= 91002581 ISSUED I::F::F°MI: T DATE= 05/14/91 .P'A'GE • O
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ADDRESS= SF:'Of:ANE. WA 99206
PERMIT USE= SEWER CONNECTION — DRY LINE ONLY
PLAT4= 002390 : I...r•r T NAME= ,`.}'Itr`I...I.±*1I::. VIEW ,:•l.1 B
BLOCK=
LOT= 10 ZONEHlAGEUB 1) j.:;'i' == I:
AREA= ;:)}:)l::,rjl:/!;?{:0 F WIDTH= DEPTH= I s,.i=
OF BLDGS= 1 .x. DWELLINGS= , WATER
,.i': ± ' D
OWNER::: ELLIOTT CONSTRUCTION PHONE= 509 928 6415
STREET= PO BOX 14406 AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= i...ANt.:i::. ELLIOTT
SETBACKS : ' `fff .J: NUMBER=
$ )9 9.8 6415
BUILDING =F ;fT�: f _ LEFT= 3rRIGHT= N" REAR= NA
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CONTRACTOR= F"I...i...:i:(:1.1...T 1 (:I f.,`':'1 ►"t i.1±".:T.F.t.i f! COMPANY PHONE= t:y l.J'•? f 6415
STREET= .:
ADDRESS= SPOKANE WA 99214
ITEM Ei"f Di:.S(::f: I.F'' I .I.c:ifN? QUANTITY ;:-F::F:: AMOUNT
----------
PROCESSING FEE Y 10.00
SEWER CONNECTION I 40.00
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PAYMENT DATE R I=:t.:I::::f:I•• ± •M• PAYMENT AMl.,jl..jNi
05/14/91 208r-
0.00
TOTAL. iUE:::: 00 'TOTAL... I:'r::y:i:T}::: 5().,00
I-'L-.F!'t`?.i..T. TYPE I:'E:I'. Ai`'fOI.if,i..T. AMOUNT PAID AMOUNT OWING
SE(AiEF' PERMIT 50.00 50.00 .00
50.00 50,00 .00
PROCESSED I: i.', BY : ,ili - '_ t'i h.. t..,
PRINTED T:i Y : JULIE SHATTO
"EWER ETU: AE—BUILT I` ( Fy ` 7N ' "
AVAILABLE AT ..T.L.I I::: COUNTY
UTILITIES DEPARTMENT T• (4': ,6.._;%;r(,04)
CONTRACTOR OR APPLICANT IS T±"1 FIELD I...c:iCA"T•FE: AND CONFIRM THE
F I...I-.?y H T .E(.l fa (i fb f i POSITION t.)F SEWER i-U B PRIOR TO f!i'N Y OTHER
EXCAVATION
TO LOCATE E .t:t.1R.I.E:.D CABLES : GAS PIPING, WATER L..:FNES • F::c::-T'.,
CALL BEFORE "( i ft ( (456-8000)
EWER STUBS ARE fit BE CHECKED PRIOR TO CONNECTION f E.Oi`•I T(.:t :I:N:.`i.iFR`.I::.
THAT THEY ARE CLEAR AND UNOBSTRUCTED STImo;(.l(:'TF::f? 'TO THE SEWER MAIN
.jy,.t}..,?....P:3!i 3!i'P:•x CALL FOR Iry,:yF'k:._. T .i- ...±. PRIOR III C:C{L`I::.F? t?..n..P:•P:'Jr n•Sri•n:3i•3r
.it•3!•3i•3r a• 24 HOUR NOTICE I: f::G1I.l:lF F'fii.:Jr:J,:.:,Y 3;.3;.ii•3i•3r•i!:
')i•3i'34**Sri ii•3ti Sri 456-36••.•. 6 0 4
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