1991, 06-24 Permit: 91003581 Sewer ConnectionSPOKANE COLJNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 approvals orCertificates of Occupancy shall not be construed 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
OWNER OR AGENT
l�.) « Qin
�
APPLICATION 0, /~ /
DATE �^ .�/
PROJECT NUMBER= 9i003581 ISSUED PERMIT DATE= 06/24/9i PAGE= 01
****************************1,ERMIT INFORMATION ****************************
SITE STREET= 2024 % ADAMS RD
ADDRESS= vEnAnALs w* 99037
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE.***
PLAT4= 003935 PLAT NAME= LEHI FIRST ADDITION.
B 8 .1300 Z UR- 5 D
AREA= 000Ooowo F/A~ F WIDTH= 105 DEPTH~ 180 R/w= 60
OF BLDG%= i 4 DWELLINGS~ i WATER uzST = vsnA
PARCEL4= 26542-3513
OWNER= WALHOF, DEAN & BEVERLY PHONE= 509 927 8652
STREET= 2024 r ADAMS RD -
ADDRESS= VERADALE WA 99037
CONTACT NAME= DEAN WALHOF PHONE NUMBER= 509 927 0658
BUILDING SETBACKS: FRONT= No LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTon= OWNER PHONE~
ITEM DESCRIPTION
-------------------------
PROCESSING FEE
SEWER CONNECTION •
QUANTITY
FEE AMOUNT
----------
40.00
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATs RECEIpT4 PAYMENT AMOUNT
06/24/91 ~*064 50.08
------------
TOTAL DUE= .00 TOTAL. PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.08 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED BY: FORRY' JEFF
PRINTED BY` FORRY, JEFF
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANDCONFIRw 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 <45-a000/
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR JT D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR To COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* • 456-3604 **********
******************************* THANK You *********************************