1991, 08-16 Permit: 91005052 SewerSPOKANE 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, 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. 1 understand that the iss - nce of this permi application d any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th = . r. is #on f any s to or local 1. egulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION 6 _qt
OWNER OR AGENT _ � &4 ����� DATE 6
PROJECT NUMBER= 91005052 I:::.• ?.! ?: � i PERMIT
DATE= e°.:::: t! ;5 / 1 { }!'91
PAGE= ' i!
* ii• )i * •ii• •;i::R• P:- )[ -R:• :a• .R; * ' '• :,::: * •P: " ti ):• *)L �: * * A)l• '; F ' `" t 1 N i'• : i R i� F _i. .., • ' *)i• :ti. * )i• •)!: •it •>t )r it * )t• * : 'h: * A: R )t )t )i• 3{ -ii * •ii• * *
Jt -u � u : � �.. ��. , 1 .L ...... ...... # . i . x.1.3 #�?
SITE ET RE!
A:o:l)1'
:'• 6 BANNEN CT
TA DALE A1...1::: 1is 99037
PERMIT USE ,:,EWER CONNECTION —
* ** s1::.L:. NOTE E x•Ji'*
BLOCK=
AREA =::
OF BLDG:.. ..
OWNER=
STREET=
P A C: E: i...::::: :....'_ '.::} 4 ;.. •• 0 :% _.::' P i
EVERGREEN POINT 4TH H 5 D1,) :1.I...;i,:.
004485 PLAT NAME=
15 LOT=
l' /A==
4 DWELLINGS=
ix3 s. ;:ti ASSOCIATES 1.
1"' i• i BOX 1)t .4084
SPOKANE WA 99214
.!i• 1 f••!I..: ! NAME= = :: C,A! SMITH
H
_DING : , t r,i• t.: ?°,:: : FRONT NA
-i {: A: )i• 3i 'h: •ie k• .A: * ?i ii )i• )e •'ti u' )i * •it: )i• * )i• )i• * 'i=: 'ii' ii •i>: •ii• 'ii
EVERGREEN PO IN l .41H A:DD
WIDTH= 97 DEPTH= (I 1: • . 37 r' U =:: 50
WATER ER +.? I S i .... Vi= Rf
N1,,. PHONE= 509 922 t-i 782
LEFT= NA
SEWER
CONTRACTOR= W R , & ASSOCIATES
STREET= 1'•' It BOX iX t i.) 4
ADDRESS= SPOKANE WA 99214
PERMIT
PHONE NU; "iBER= 509 922 0782
NA
RIGHT= NA rr
•A: P: * )k •A: •A: •fk A• R• *"ii• •il• 3h ){ •P: •A: Pi '!i •R• •A H •A: •A: 'Y: u: 3k ;k •H• * • k
PHONE= 509 92.2 0782
ITEM 3t C4 1P# "Ca QUANTITY FEE AMOUN
Y 10.00
Z 40.00
!(..J,..p: R• •)k 'P: * •1': )'.• * ": * * * •A: •P: •P''A: )i• ?:• )i' )k * )k -P: 'A: R -li.i. -it •i #'' f •'t T ! "? I::. N 1 .} 1,;, !, t,••1: K )k * 'A: )i• •P: )i •P: •P: •P:: -::`: )': 'it F: •P: f• ): )i• •s; li- •P: )t•'A: P: ): •i'•: 1: 4t
PAYMENT L f ! < _ ::! ° 1 , PAYMENT
A ! °! t.) I..! N !
08/16/91 ...>!-. -. ,' 50.00
TOTAL i t;L. }:..)1::..... .00 TOTAL ! Ai... L: f.; 1j: ::: 50.00
PERMIT FEE x~C» NT AMOUNT " h!? AMOUNT OWING
EEWER PERMIT 50.00 50.00 .00
P•`ROCESV'_I:NC. F#";1::.
SEWER CONN - ION
PROCESSED
PRINTED
BY: WlL: NDEL.. , GLORIA
BY: : Lx!ENI. EL.. t t- 1...i. ?l''IA
SEWER ETii;i AS
_
50.00 )ii.'i;:i .00
U1.L! INFORMATION I!! #'f i.::> Aa`A.#.i..( ?i:ii... #::. AT THE
11 "#Es-,1• (456-3604)
l :l iN i RAc: ? = 4 :.FI.4 :P
ELEVATION ANY')
EXCAVATION
i O C f °Y #_ E BURP:-
BE
.1 {a {'t`
THEY
?`i* Si• fi•**iii*i'i•
..................
ARE
t..•
L..L
CA
DIG
_ FIELD
EON - —EWER STU
AND
;1
COUNTY
INFIRM .
Hl:_-
J GAS PIPING, WATER #... I N #. ,:: ».• i .:
;S t. - 0
BE ±• :HE sl <.r i) PR !i €• %° "i.'sj C: :CiNN:°CT1 T ?-1 ] :N 1.. RE
AND U# t.;B::r t?4U!..: ? TO THE. ,l- -1,.;1'. L`' MAIN
1
INSPECTION i•• i•3, �. i,�l•�: TO COVER 4.:::.!•:; )=i)l •i('Af'i!i'A' R'A*'Ai
UR NOTICE r E t- t,} * * * tr •A: tr * ii• * *
456-3604 9i-'A: 9{ * -P: 'P: P: •P: 'Ji- 1k
9 ) J ) 9 } ) 9 R * : !: P : ! a: 7:i t J ! ii J A ! ! } THANK y *******************************K*