1991, 10-28 Permit: 91007187 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 correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REOUIREMENTS/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. 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.OWNER OR AGENT a -t 7
SIGNATURE OF /// y/ /� APPLICATION 6 p
d , DATE /1°JZQ'
PROJECT NUMBER= 91 00 71 87
i' 34
ISSUED PERMIT DATE= 10/28/91 PAGE= 01
34 34 34 34 3('313('#34#3434Y4343434 PERMIT INFORMATION
'14*v.'3('3('34343('343('jl..)l..3..h.*..h..*3**.li .k,3.* *34......:44
SITE STREET== 310 N MCDONALD RD PARCEL.= 15544-1612
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — BASIN—C U.L.I.D 86-2
313('3(' SEE NOTE 343134
PLATO= 004046
BLOCK=
AREA=
OF BLUGS=
PLAT NAME= SP -341
LOT= 2 ZONE= UR -3.5 DIST(= F
F/ A= F WIDTH= 9082 DEPTH= 78 R/W= 50
DWELLINGS= i WATER DIST = VERA
OWNER= PETERSON REMODELING
STREET= 4108 S MCDONAL_D LN
ADDRESS= SPOKANE WA 99206
CONTACT NAME:= BRENT PETERSON
BUILDING SETBACKS: FRONT= NA LEFT= NA
PHONE= 509 922 3130
PHONE: NUMBER=
RIGHT= NA REAR= NA
09 922 3130
.3('3t'.hH1i'.u..l('.H•.h'.li•.)('.)('.li'.)('.k3('3i3('3('34#3t3i'3('ii'#34'#11' SEWER PERMIT'tt'3e3('3r3:3('3('3('3('*3e3r3('3('3('.a'3i'3i..tt.3(.'3i..tt.3i'.u'.tt..;<'3('.tt'*
CONTRACTOR= PETERSON REMODELING
STREET= 4108 S MCDONALD LN
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
3E'1('3('3('.*3l'3('3t3('3t31'3{3t3("k'3f 3f 3F 31'3l'* *4R'**4**.**
QUANTITY
PHONE= 509 922 3130
FEE AMOUNT
Y 10.00
40.,00
PAYMENT SUMMARY ##3434
PAYMENT DATE RECEIPTI PAYMENT AMOUNT
10/28/91 8023 50..00
TOTAL DUE:= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: WENDEL GLORIA
PRINTED BY: JULIE EHATTO
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
E:XCA'VATION
TO LOCATE I'.iURIEI) CABLES, GAS PIPING, WATER LINES, ECT,
CALL. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO DE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED T3 THE .SEWER MAIN
3134.x..A..x..tt.34.x.3t. CAL..1... FOR INSPECTION PRIOR -('C3 CCOVER*i('k34)4x'141('3434
**** ('*34'3434 24 HOUR NOTICE_REQUIRED 3(1434#34343('3('•1('34
34.44..)43* g..h..)4.k..p3 456..-3604 .h..h..k'34 n) 31 )4 n 4*
#31'31'31'31'343 343434...)4*3*3434#4131344*THANK YOU **.......)' 3e4*3434'3431"14343434'11'.)434")434343431**.e