1991, 03-15 Permit: 91001121 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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 correctand authorize Spokane County to proceed with processing. In addition, / have read and understand the INSPECTION REQUIREMENTS/NOTICE
prov/u/ono/no/uunuxommanuaomomcomply with same. API provisions of laws and ordinancescomply governingmis type of work will be complied with whether smou
herein o,not. / understand that the issuance v/this permit/application unuunvov»oonuontmovonnvnuvvmvu/oo,comnoumoof000unoncyuounnmuoovnotmoum
give authority mviolate v,cancel the vnisions 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 AGENT SIGNATURE OF //' ( � � APPLICATION
,/
PROJECT NUMBER= 9i001121 I%%UED PERMIT
DATE= O3/i5/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 4606 N BURNS RD PARCEL4= 02541-1704
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - DRY LINE ONLY
*** %EE NOTE ***
PLATO= 002677
BLOCK=
AREA= OOOOOOOO
0 OF BLDG%= 2 �
PLAT NAME= TRENTWOOD ORCHARDS
LOT= ZONE= UR -3.5 DT.�
F/A= F WIDTH= 321 DEF
DWELLINGS= i WATER DIET =
OWNER= %IDE RONALD V
STREET= 4606 N BURN% RD
ADDRE%%= SPOKANE WA 99216
NOREEN PHONE= 509
CONTACT NAME= RON EIDE PHONE NUMBER= 509 928 0175
BUILDING %ETBACK%FRONT= NA LEFT= NA RI;HT= NA REAR= NA
***************************** %EWER PERMIT ****************************
CONTRACTOR= OWNER PHONE=
ITEM DE%CRIPTION QUANTITY FEE AMGUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION 40.00
*************»***************** PAYMENT %uMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
03/15/91 1282 50.00
TOTAL DUE= DUE= TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50,00 5O.00 .00
PRO
BY: JULIE %HATTO
BY: JULIE %HATTO
%EWER %TUB A% -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER Ti%B PRIOR TO ANY OTHER
EXCAV
x
- BURIED
�RE CABLES,GA% PIPING, WATER LINES, FCT
^
YOU DIG (45-8OO
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND ;NGBETR;CTED TO THE SEWER HATN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
)k******** **********
*************************** THANK YOU ******************************