1991, 0-21 Permit: 91003526 SewerSPOKANE COUNTY DEPARTMENTIDF 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 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. l 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 lo 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
•ct
PROJECT.NUMBER=.91003526. . ._ ISSUED. PERMIT .. __ _DATE= 06/21/.91 PAGE= 01
**#44*3i•3k.4.*irr'3i 3i 3F****fl3i***** * •PERMIT INFORMATION W* **3r* **i**..h..h.ii*4"'..-E..ariir 3i 3i3**ii*3i
SITE STREET 2023 S CENTURY --CT - - PARCEL..4 =: 26541-1 2.20PTN
ADDRESS= VERADALE WA 99037 - _ _
PERMIT USE:: SEWER CONNECTION-- -- AUTUMN CREST 1ST ADD,.
43f4 SEE NOTE: #3E3e
1 RL_AT9= 005024 .PLAT .NAME= AUTUMN CREST 1 -ST IADD
BLOCK= ;? LOT= 3 ZONE= UR --3,5 -DISTO - : F
AREA=F/A= F WIDTH= 00 DEPTH= 129 R/W= 5')
0.0F BLDGS= - -- m DWELLINGS= - 1 - WATER DIST '= VERA -
OWNER= LANDRETH .CONSTRUCTION - _ ...PHONE= 509 535.7778
STREET= 3124 S REGAL_ - ST 0100
.
ADDRESS= SPOKANE WA 99.223
CONTACT NAME - -KARL CROFT PHONE: NUMBER= 509.535 7770
.BUILDING SETBACKS: .FRONT= NA 1 EFT =--NA, -- RIGHT= NA i REAR= NA .
3i343e4.4..4.3i3i .)t#34)f4.4443{.3i.4..*..4..4.4.4..4.4-1** SE::1.1E:R PERt1]:T 3fii..>i.31.3i.4.;k3{.4..4..k..0 t)t:.)r:JF3i.4..1f..h.4..a.4..k..h.:,;..4. 4..tt.4.
- -CONTRACTOR= -LANDRETH• CONSTRUC T ION INC . PHONE== 509 535.7770 -
- STREET= 3-124-S• REGAL_ ST 0100
.ADDRESS=.SPOKANE WA 99223
ITEM DESCRIPTION
QUANTITY
,FEE AMOUNT
-PROCESSING FEE Y . 10,00
-SEWER -CONNECTION. . - ..— . i " - 40.00
3e4.4.4..tt•3i4..tt..**** ett3r3i.3i..tt..x.:tt..x..u.4..tt4.3c.4.4.�i.4.3i. PAYMENT SUMMARY*Si..a..a'3i'fl3t*3i'4'3i3i3i'3i4'** e3 4: 3f if4;'H f4'
PiaYMENT"DATE - ' -- RECEIPT:„ - PAYMENT 'AMOUNT
a - ; 06:21/91.: 4030 - - . ._ • 50,00
TOTAL., DUE= _ 00.- TC)TAI_. 1' -'AID.= :50.00
. ' PERMIT TYPE' FEE:: AMOUNT AMOUNT PAID---' AMOUNT OWING-
SEWER- PERMIT - _ . -_ .. .50..00 _ 50.00_ _ • . .. 40.0.
-------------
Amy
PROCESSED--BY':--WENDEL_, -GLORIA- . --
.PRINTED-BY: WENDEL..,.. GLORIA ,
\I:::bJER ST(.JH AS...I:31..JIl...f 1:NFOF:MATI.UN IS 'AVA1.'L_r3I31.E F1' THE C01NT,
UTILITIES ' DEPARTMENT '(456-36047' .
CONTRACTOR OR APPLICANT IS TO FI[:1.1) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE' YOU DIG (456-0000) '
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 ****** **
-3e 3e4****3F4 '24-1HOUR NOTICE REQUIRED : 3r3F3F3e3E3E3E3e4ii •
.A..a..1<.31..p.4.3t..fi.4. ' 456-3604 s 43i4ii4443E44
3*)i*3r3e3e* 3t* 3e3E *** i* -)********44#*
** THANK YOU 3o-4443r43e3e
3F#33E3E*3e3E3r3E#3f*3r3f3£# 3*3*3e3E3E4**