1991, 11-13 Permit: 91004965 SewerI carry, that l have examined
and correct, and authorize
provisions Included herein a
herein ornot l understandtl
give authority to violate or ca
laws regulating construchOF
SIGNATURE OF
OWNER OR AGENT _
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
application, stale that theinformation contained In hand submitted by me or my agent
unly to proceed with processing. In addition,) have read and understand the IN
cnmmywnhsame. All provisions of laws and ordinances governing hstypeofwork
APPLICATION
anystaboulocal
PROJECT NUMBER= 91004965 ISSUED PERMIT DATE= 11/13/91 PAGE= 01
•*�crrr■iE<eiE iE** PERMIT INFORMATION*raEriF it•Kak*iE*iE iE iF•*
SITE STREET= 10023 E STH AVE PARCEL:= 20541-1626
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — ULID 8802
SEE NOTE **•
PLATO= 001834 PLAT NAME= OPP.TR. 1-354
BLOCK= LOT= ZONE= MFS DIST= Fr.
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
* OF BLDGS= 1 * DWELLINGS= 1 WATER DISI =
OWNER— SLOAN RON PHONE=
STREET- PO B6x 141562
ADDRESS= SPOKANE WA 99214
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
■atr*aFrae**waFr*w* SEWER PERMITr**ak aE�paErr*eiFit
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
_________ ________ ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
•raE+eif•rtrt*•err•**aF■ikaEat r ak*it PAYMENT SUMMARY •at*r�rxaEr•tE iFiEriF■
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
11/13/91 8633 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
__ —TYPE-- TYPE __ _ FEE __ _
EE AMOUNT AMOUNT PAID AMOUNT OWING
_____ _ _
SEWER PERMIT 50.00 50.00 .00
_____________ ____________ _____________
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO 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.
CALL BEFORE YOU DIG (454-8000)
SEWER STUDS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•*rrrrrr CALL FOR INSPECTION PRIOR TO COVER ***rrrrrrr
***** 24 HOUR NOTICE REQUIRED rrrrrrrrrr
456-3604 rrrr■•■rr
rrrrrr*rrrrrrrrr<**rrrrrrrrrr THANK YOU rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr