1991, 09-18 Permit App: 91005821 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 SkCounty to proceed with processing In additionI have read u understand understand the INSPECTION REQUIREMENTS/NJOTICE
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/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 OnAGENT DATE
PROJECT NUMBER= 9100582i APPLICATION
DATE= 09/18/9i Oi
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1785 J MAMER RD
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - WOLFCRFE7
*** SEE NOTE ***
.A
PLAT4=
BLOCK=
AREA=
OF BLDG%=
OWNER=
STREET=
ADDRESS=
002752
00000000
A
PLAT NAME=
LOT=
F/A=
DWELLINGS=
MORTIMORE
1705 % MAMER RD
VERADALE WA 99037
CONTACT NAME= LEONARD
BUILDING SETBACKS. FRONT= NA
PARCFi4:= 2754i -091A
VERA
ZONE= UR -3.5 DIJT,I= F
F WIDTH= DEPTH= R/W=
i WATER DIET = VERA
LEFT= NA
***************************** SEWER PERMIT
CONTRACTOR=
STREET=
ADDRESS=
H & % CONSTRUCTION
118i7 E VALLEYWAY AVE
SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FE[
SEWER CONNECTION
PERMIT TYPE
--------------
SEWER PERMIT
FEE AMOUNT
50.00
50.00 -----------
5O.6O
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE %HATTO
PHONE=
PHONE NUMBER= 509 926 8964
RIGHT= NA REAR= NA
******************************
QUANTITY
--------
SEWER STUB A% -BUILT INFORMATION
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR
ELEVATION AND
EXCAVATION
PHONE= 509 926 8964
FEE AMOUNT
----------
40.00
AMOUNT OWING
50.00
50.00 ------------
5O.00
IS AVAILABLE AT THE COUNTY
APPLICANT IE TO FIELD LOCATE
POSITION OF SEWER STUB PRIOR
AND CONFIRM THF
TO ANY STHFR
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, FCT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION T; INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER *AIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *******************************