1991, 09-05 Permit: 91005541 Sewer IL
SPOKANE 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 meor 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&this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not beconstrued 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
AEC T NUMBER= 9) 605E41 ISSUED PEPATI DATE= 69/05/91 PAGE= 0)
4:5""99******KK*********KsK PERAII INLORMA ! ION *****************xxx********
ELIE STREET= 10) 90
F 8TH AVE PARCEL4= 20544-0543
ADDRESS= SPOKANE WA 99206
TERAIF USE = SEWER GONNE:0110N - s80i
*** SEE: NOTE ***
FTAT4= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 1.015Y ZONE= AGSUB ( I Ll
AREA= 00000600 KEA= K WIDTH= DEPTH=
OF BLDGS= 4 DWETIJAGS= i WATER Elifq -
OWNER- EARS:HEE DON G PHONE= 569 924 4S4H
STRLIA = 10120 E 8TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DON FORSHET PHANF: OUNDERE 509 924 4U46
PUTIDtNG STTBACKS : FRONT= HA tEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERATI
CONTRACTOR- OWNER PHONE=
ITEM DESCRIPTION QUANTIM FEE AMOUNT
PROCESSING FEE 10, 06
SEWER CONNECTION 1 40 ,00
*-****i“*K*****Y.91.***********)(XX* pAymENT SUMmARy NAX**Kk)OCAX)*****MX* * ***
PAYMENT DATE RECEEPT4 PAYMENT AMOUNT
09705/91 6283 50.,00
TOTAL DUE-- „00 TOTAL PAID= 50, 00
PEEMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 50,00 „00
B000 500O
PROCESSED BY : JULIE SHATTO
PRINI ED BY : TULLE: !MATTO
SEWER STUB AS-BUILT THF(tRMATION TS AVAILABLE AT THE RTIONTY
UTILIIJES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT IS TO I: , Hi UTATE AND OUNF) Rh THE
ELEVATION AND utN CI SEWER STUB PRIOR Dl ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PTPING , WATER I TAPS, FCT ,
CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR 10 CONNECI ION 10 INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE NEWER MAIN
K*****0* CAI L FOR INSPECTION PRIOR TO COWER **********
-24 HNUR NOTICE RFOUTRED
4BS--3604
MKKK4MKKKK****404K44 **KKa***KK.K 1MAM< yOu ********4************************