1991, 12-27 Permit: 91007438 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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, 1 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 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 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= 91007438
ISSUE..D PERMIT DATE= 12/27/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1121 S MCDONALD RD PARCELO= 22544-1220
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOLFCREST
*** SEE NOTE ***
PLAT= 002753 PLAT NAME= VERA
BLOCK= 2 LOT= 7 ZONE= UR 3.5 DIST:= F
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGS= 0 DWELLINGS= 1 WATER DIST =
OWNER= JOHNSON, CLARENCE PHONE=
STREET= 1121 S MCDONALD RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & S CONSTRUCTION — LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= NJA REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
1' 10.00
1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT PAYMENT AMOUNT
12/27/91 9683 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAIL) AMOUNT OWING
SEWER PERMIT 50.00
50.00
50.00 .00
50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
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 BURIED 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 *********************************