1991, 04-02 Permit App: 91001531 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 perm it/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 Taws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this perm it/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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91001531 APPLICATION DATE= 04/02/91 PAGE= 01
****** THIS IS NOT A PERMIT *****•*
PENALTIES WILL. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2011 S CENTURY CT PARCELO= 26541-122OPTN
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION AUTUMN CREST PHASE I
*•** SEE NOTE ***
PLAT= AUTUiA PLAT NAME= AUTUMN CREST FIRST ADDITION
BLOCK= 2 LOT= 4 ZONE= UR -3.5 DISTO= F
AREA= 00010231 F/A= F WIDTH= 98 DEPTH= 129 R/W= 50
A OF BLDGS= 1 4 DWELLINGS= 1 WATER DIST = VERA
OWNER= LANDRETH CONSTRUCTION PHONE= 509 535 7778
STREET= 3124 S REGAL ST 4100
ADDRESS= SPOKANE WA 99223
CONTACT NAME= RON BOSS PHONE NUMBER= 509 535 7778
BUILDING SETBACKS: FRONT= 30 LEFT= 10 RIGHT= 2i REAR= 32
***************************** SEWER PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSEI) BY: JOHN LARSON
PRINTED BY: JOHN LARSON
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE £UJRIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED) PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************