1991, 09-23 Permit: 91006151 Sewer ConnectSPOKANE COUNTY 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, 1 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 or Certificates 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.
OWNER OR GENT X.40% 415". C APPL I.3 /c (
SIGNATURE OF
DAATE TE
PROJECT NUMBER= % i 00• ^:, i 'i
3:.:,'SUED PERMIT DATE= 09/23/91 (.'F" . 01
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.,... STREET= 909 ,• ADAMS RD) F:AR :C:. 544-050
ADDRESS= VERADALE WA 99037
PERMIT L. ,••.,
SEE E :: r 1 E ::
.A.
i .. i -! ! •A. = 002751 i" i... A 1 NAME= 'e' .:.R F•T
BLOCK= 1..).Y. ZONE= ,. i:.'i'1 i)'' A.
.:} 00000001 ,- .' r..} .._ F.} WIDTH= DEPTH=
OF BLDG S= ,f, 4 DWELLINGS= i WATER i'R D (;E 1 ....
i:.
F: =/W= 50
OWNER= FtFi +1'{i..?,:sEi::.N, W1i...i...3 :AM Ft: PHONE= 509 924 z; ::y..,,
STREET= 9 i 1 E ADAMS F _
ADDRESE= VERADALE WA 99037
Ci :iNTAiC :T NAME:: :: KELLY HOi...iEN r :,Hr;NE NUMBER=
LEFT= -,; ; -r :
BUILDING SETBACKS: E i i = rf �° RIGHT= �" REAR= ;r
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CONTRACTOR= ' it .,..,...r „ 'f'i!a'^ �:i_i�i :•,:; :
1..i �. i... 1 1::. '�' , {;. �� PHONE= ._ .'�' i::.:::: �... ...: ..
STREET= 11704 1::. 8TH AVE
E:.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY i° EE AMOUNT
i-'Ftit..ICE 1, 1.rJrr FEE 10,00
SEWER R i. ".-ONNE.CTION `i.i } %)
i +• •P: 94 'lk .p :.1e. 9C y,. 7,.. },..'p'..'p'..J ?' },i '/1: '7k N' • }C 9+: •H• • ?: •l,: •1 ?• H 78 7k 'A• •!k 'P: 'P: 9k E'' A ? i °i ':. N ''' .? i "11"1 (••t , t' `r 'ti..p..F :.,t..R..P: •P: •Ft 'Pi 'ir::I1.. }(. N..R..Ai ' }k '}k •A: 'tk •Y: '1C 9k 'P: 3k .A:.R .x..p.
PAYMENT DATE Rt::. ?.:i::..Et'`! ' , t-1Y1 "iEN1 AMOUNT
09:`23/91 6843 50,00
TOTAL :D LnE. : : :: ,00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT F ::A:i: %) AMOUNT OWING
SEWER PERMIT 50.00 r
50.00 50.00
PROCESSED BY: JULIE , Hr! 1 1 o
PRINTED F -`i : JULIE ,`.i i"i ,t _i' '1' " :i
SEWER STUB F °,`:`....I:i1J.i:i...•i• INFORMATION ATI:t:i .1: `s AVAILABLE AT THE COUNTY
U 1 .Ei...IT:Ei :-S DEPARTMENT l..Y%r,•• -3, -t0 t
CONTRACTOR OR AF`Pi...Ir: :ANt' 1 :,' TO FIELD iOr ATE AND CONFIRM THE
i:::l...F::VA..i-:i.Oi4 AND POSITION OF SEWER STUB F='r':i:t: ?R TO ANY t:i•J°i;i:::i'
EXCAVATION
TO LOCATE BURIED CABLES, ..r F i `.• PIPING, WATER LINES, { °.1... ! :.
c;i..i... BEFORE YOU DIG (4'.`. ?6•---8000 )
::, {:: u? 1::. r ; ,:, , l ,BE JBE ARE TO BE CHECKED PRIOR TO r: is N rJ i°: C (- :i: O N TO INSURE
THAT
111 r:. Y ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
, , , , l : : N P CALL FOR . ( _ Fi : i i l + PRIOR T4
COVER i: i i r fi : } } r
• k* iJ * Y, 'y HOUR rti 1' i
REQUIRED :,,: 3!• iF• r: J,: 4t * •tl- %• •r:
N 3 l l H i l H F 456-604
.A::Pr 'Pr •P• •Ni *.• }k 'Pt =Pf 'Ni
l A p , i t 9 ; k! r p p , 11 , * * * R N k P* n C R 7 + a R THANK Y tu * * * N * * _l * N * t R i * * * N * * * *t t * * * „ J ? 9 * 9