1991, 10-04 Permit App: 91006449 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91006449 APPLICATION DATE= 10/04/91 PAGE:== 01
xxxxxx THIS IS NOT A PERMIT xxxxxx
PENALTIES WILL DE AS'SES'SED FOR COMMENCING WORK WITHOUT A PFRMII
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SITE ETRE:EI"= 13119 E 10TH AVE PARCEL'= 22944--0938
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- WOLFCRES'T
xxx SEE NOTE xxx
FLAT'= 002404 FLAT NAME= EOMMER'E ADD TO WOODWARD PARK
BLOCK= 3 LOT= 9 ZONE=: AGSUD DIST'- F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGE= 1 ' DWELLINGS= 1 WATER DIST =
OWNER= MCELOY, GRACE C PHONE=
STREET= 13119 E LOTH AVE
ADDRESS= SPOKANE. WA 99206
CONTACT NAME= ILE:ONARD PHONE NUMBE:: R= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT== NA REAR= NA
xxxxxxxxxxxxxxxxxxxxxxxxxxxxx SEWER PERMIT xxxxxxxxrrxx xx x xxxxxxxxxx xx xxxx
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET== 11817 E VALL-EYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- ---------_'__.__-_...
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40,00
PERMIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING,
"-------------------------'----------------------------
S'EWER PERMIT .`.50.00 .00 50.00
------------------------- ------------_-
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STOP 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
CALLCIBEFOREUYOUDDIGB(45A-8000) IE'I NG, WATER LINES, ECT.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE .SEWER MAIN
xrxxxxxxx CALL FOR INSPECTION PRIOR TO COVER xxxxxxxxxx
xrxxxxxxx 24 HOUR NOTICE REQUIRED xxxxxxxxxx
xrxxxxxxx 456-3604 xxxxxxxxxx
rxxxxxxxxxrrrxrxxrxxxxxxxrxxxrxx THANK YOU xxxxrrrrrxxxxxxxxxxxxxrxxxxxxxxxx