1991, 08-15 Permit: 91004329 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 d 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 ree 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 a issue a of this permit/appli tion and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcanc I the pr isions of anb state or I cal law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
$/019/
PROJECT NUMBER= 9'3 tyry%._.,C ISSUED I'::E::I"2ri7: ( )F. t,):; % t :):; ` 1 FAGE=
)jtaxata;;aaa;,«a;a,,_tt:r444rrn. PERMIT NrRrTTnrr,4444...... h44re'...r.ae.. r
SITE STREET= r6.TPFICT PARCLi_ . i4. 1
ADDRESS= Ji 99037 -
'I:ER'r1IT USE= SEWER :CONNE:CTiON -- DRY LINE ONLY
4i 44444 SEE NOTE 4`4-��`
PLAT--= 002516 Pi...i'i N -illi = RO'f CIHE'OFiE) e)CEtr. _rRAC;TS
d.. L_Cµ:n�= LOT= ZONE 1,., r'.`' -d_"_: DIST
A FLEA= ut;C):0000 F/A= f:' WIt;-it.i::_ DEPTH= I:::/ t.i=::
0 OF Ei l..Ilf ':= i " DWELLINGS,. .i u7h.•-"__. i:r. i I t:.11: r =
OWNER= MARTIN, '< EVEN
STREET= 4103
,03 HOMESTEAD
ADDRESS= %'Ei:Rt'1iS.`.LE WA 99037.
CONTACT NAME==
BUILDING SETBACK
i4;4 -**11.3;,)41 )1-- i4' 4.*: ;,.
CON TRACTOR= PRO
STREET= ET=: PO
ADDRESS= VER
MARTIN
f P.1T,, 'rift
iTE:M DESCR
'ROCESSI:Nil,
S EWES;
e ri.A4i'K..4.4.*:3*4..4.4i.444
LE
! IUN
LETT
i' T
SEWER PERMIT
A 990:5!
r..
......tu............
s: a .n. u ar �a:
PAYMENT DATE
00/15 /94
TOTAI DUE=
REAR,: P2(1
GiI.Ir't?Jii TTY (:'EEE AMOUNT
-f
PAYMENT SUj1j'jAE:Y
RECEIPTO
5692
.00 TiOTAi
PEfil'•it._i. TYPE FEE i•i(:itJ1•141'
....................
5it.{?i:)
....................
50).00
SEWER PERMIT
PROCESSED ED I::Y :
PRINTED BY:
SEWER
UT [LIT
CONTR
ELEVA
_n1_ryV
RAID
AMOUNT PAID
D
50.00
0:I):'•
i t;) . 00
41;):00
'4i Y@ R" 4' 44..4..4. ri..* 4i' 4' 4'.'474')@ 4C 40 h' h. k*** )C : P)
PAYMENT AMOUNT
50‘00
_........_......_ __ ...'M1 4444 .I .�'
50.00
AMOUNT OWING
,00
400
AS -BUILT INFORMATION IS AVAIL 081_.L. AT THE L:OUN1
iE:Pr^1E?"ti•Si:EN1 t456-604:)
OR APPLICANT IS TO FIELD L_tIC;ATE:: AND CONFIRM THE
;i1:-; POSITION 01= SEWER ....
i-RiIJI i(:( ANY OTHER
:14' I ..,. CABLES, . ...,....,.w,. WATER (ER LINES' ECT.
.!r<�.r:.� (1L GAS rl.r4.nr..,
YOU DIG {x456-80)::',0)
)RE TO BE: CHECKED PRIOR _.i0 CONNECTION TO INSURE
v:i.. CLEAR AND UNOBSTRUCTED SEWER MAIN
FLL FOR INSPECTION PRIOR iq Gi:!'dEEf: 44.4..4..4..4..4..4.;441..4
24 HOUR NOTICE REQUIRE E ri **A*******
456-3604 *4*. -X---.-4 j4 h: x 4
***it iE *4r *7i. iE 4ry *ik ii; d:: r*4241..441.4?.4;3a ii 4f THANK H1.:11 li illV �':.'+".�•'
ie 3e'444-3*44* 44444.4.444*A** 2.:*