1989, 12-15 Permit: 89005217 SewerSPOKANE COUNTY DEF 'ENT OF BUILDING AND SAFETY
W. 13C DWAY AVENUE
SPOKAR HINGTON 99260
S6-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 C. • : rmance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
DATE= -12/15/89 {..jr;i::::: f'1
TEEUED PERMIT
7+- 4.±.:: 4 : tt, 9 3 c : t t t 1 d i p r t ::NPERMIT
{_N4_ tN!«x?d 4;:****************:******:**
SITE STREET= 2927 E BOLIVAR RD
ADDREES= VERADALE WA 99037
PERMIT •..! ,:) #:.. .::: SEWER CONNECTION .... #.. ii i .. i :. ?,;, i \ ! ... F •1 .:i1. N #
POINT �!
# .rE
.:A:� E+lr' PLAT NAME= EVERGREEN 'u f:.i i i r,
CONTACT NAME= BILL :•?``?.?. # '!"#
BUILDING SETBACKS: FRONT= NA
CONTRACTOR= OWNER
ITEM DEECRIPITuN
PROCESSING FEE
.`r E kti I::.1'; CONNECTION
LEFT= NA
,`, 1:::.4± I... i.\. PERMIT
PHONE= 509 922 0782
PHONE NUMBER= 502 222 0782
RIGHT= NA REAR= NA
************K****************
QUANTITY
F: i:- :: AMOUNT
----------
40,00
:;f: K ..*}.: i ; diC : t :{{Pi{R ! 5{;iry{{PAYMENT SUMMARY {.j*j{tP!1?fi:i:*:*,;:{j,
PAYMENT DATE
12/15/89
TOTAL TAL. i?i..7t::.=
PERMIT TYPE
..................................
SEWER PERMIT
F E E f PT's'
%Y.375
,00 TOTAL PAID=
FEE AMOUNT
50,00
50.00
PROCESSED BY: jULIE SHATTO
PRINTED BY: JULIE SHATTO
PAYMENT AMOUNT
50.00
AMOUNT PAID AMOUNT #.twJ.I ?..i
-------------
50.00
50,00 „00
SEWER STUB AS—BUILT INFORMATION .?.:'. A V A :?. ?.... •i i :1..:.. i �! 1 ? 'I f COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE (.. {='t i'• D CONFIRM THE
ELEVATION fINT POSITION .?E' SEWER STUB
--
EXCAVATION
TO LOCATE
L BEFORE i
U DIG (456-8000)
SEWER
STUBS f':± t•\, E TO i:;r.:. CHECKED PRIOR TO t #, ;t ?# i+f(. t.±. ? . ## ! TO i N E # , t.:` 4..
THAT THEY C"± R ?:: i..... #... ± !'`•. i'•! F'+1 i.. . i fi +. ? 1'i :3 I R ?. € i.. # t ; 1 } TO j I # t ?::. E i'. Ua ?.. '. MAIN
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
rovisions incued herein and
addtion,
dinlahave readnc s go earns g th srtype ofhwo kSwill be compli d w1 iitth whether specif edpherein or not.I unde stand that gthe issuanceree to of provisions
this permit 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.
APPLICATION
SIGNATURE OF BATE
OWNER OR AGENT
PROIECT NUMBER= 09005217 DATF 12/i5/9
TSWED PERMIT
• . ... . , PRIOR .`.. O COVER •u• * rp ii i• a; :w }::
th •J •it 3h tR• j:i je: i�: •!: ,..: r•+,.R ?._ } ? ¢' ....
.. .. .. .. .. ...: •.: '.: i.: '.: •.:::,'.: j.:,j..j,:.X :,j.:,,; :g. * •jI; ;ll; 3k * i,; •JI; •Ij; THANK
H"NK v 1 U ljjfj..jj..jij± n:kjjjS jnj:± }.}.}}.:r