1991, 12-13 Permit: 91008611 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 iit and submitted»v me or my agentm compile said permit/application permit/applicationis
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. 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 w regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF wr��~ ��� �N�a�� ' APPLICATION / z _/3
OWNER OR AGENT DATE
PRGJECT NUMBER= 91008611
I%SUED PERMIT DATE= 12/i3/�i
**************************** PERMIT INFORMATIGN ****************************
ET TE %T
ADD
PERMIT
***
� OF
CO.
BUILDI
2117 % NEWER CT
VERADALE WA 99037
JEWER CONNECTION /
TF ***
9i -i44
PARCEL4:,= 26544-i22O
PL T4= 005092 PLAT NAME= AUTUMN CRE%T 2ND ADD
...
2 LOT= 2 ZONE= UR 3.5 DI%T4=
F/A= F WIDTH= 8� �EPTr1= 129 R/W= 60
i DWELLINGS= i WATER DI%T = VERA
OWNER= LAND. CONSTRUCTION
%TREET= 3124 % RELAL %T
ADDRE%%= SPOKANE WA 99223
NMML—
.'�un_����
PHGNE= 509 735 7778
PHONE NUMBER= ��9 ��� 777�
%ETBACKS: F -INT- 30 LEFT= 5 RIGHT= 5- - REAR= 47-
*****************************
-- � -
***************************** EEWER PERMIT ******************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRE%%= UNKNOWN WA UNKNOWN
ITEM DE%CRIPTION
PRGCE%%IN� FEE
%EWER CONNECTION
qUANTIT;
i
PHONE=
FEE AMOUNT
--------
i0^OO
40,00
******************************* pAYMENT %UMMARY ****************************
PRO
PAYMENT DATE
TUT("DUE=
PERMIT TYPE
---
ELWER PERMIT
PERMIT
RECEIPT4 PAYMENT AMOUNT
943i 50,00
TOTAL PA
PAID=
AMOUNT PAID AMOUNT OWING
----------- ----_______
5O.00 .00
-----------
50,00 ,00
.0O
FEE AMOUNT
-------------
50.00
-------------
5O.0O
BY: JOHN LAR%ON
BY: JOHN LAR%ON
SEWER %TUB A% -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CON -;f OR APPLICANT
ELEVATION AND PO%ITIOH OF
EXCAVAT]
LOCATE AND CONFIRM THE
PRIOR TO ANY OTHER
BURIED CABLE%
(WIPING, WATER LINES, ECT,
*********
*********
*********
ARE TG BE CHECKED
E CLEA. AND UNO
FOR IN%PECTIO
HOUR NO.
456-36O4
REQUT
TO CONNECTION TO INJURE
TO THE %EWER MAIN
COVFR **********
**********
**********
******************************** THAwK YOU *********************************