1991, 03-28 Permit: 91000497 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(589)450-3675
1 certify that I have examined this permit/appfication, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorizeSpokane County to proceed with processing. In addition, I have read d understandmo/mspecrmwnsoumsmEwTuxvoTms
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 ofthis 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= 9iOOO497 I%%UED PERMIT DATE= 03/28/9i pAE= Oi
**************************** PERMIT INFORMATIO� ****************************
%ITE %TREET= 2924 % OBERLIN RD PARCEL�= 2�544—�8�8
ADDRE%%= JPOKANE WA 99206
PERMIT U�E= �EWER CONNECTION — %OUTH KOKOMO
f- '-- -- --- -- -
PLAT�= O00382 PLAT NAME= CHE%TER HILL% ADD.
BL = 3=
R. ZO�E= A�RI
A�EA= OOOOOO�O F/A= F WIDTH= DEPTH= R/W=
� OF BLDfx DWELLIN�%= i WATER DI%T =
'Al pUARLE% ETU J PHONE=
� 6
%TREET= �924 % "BERLIN RD
ADDRE%%= %POKANE WA ��2O6
CONTACT NAME= LEONARD �AONE HU�GER= 509 926 8964
BUIL�IN� %ETBACK%� FRONT= NA LEFT= NA .... �A RE�R= NA
'
***************************** %EWER PERMIT ******************************
CONT = H ON%T�;CTION PHONE= 5O9 926 S964
%TREET= ii8i7 E VALLEYWAY AVE
%POKANE WA 992O6
FFE AMOUN�
ITEM DE%�RIPTION QUANTITY
--'---.... .... .... .... .... ... .... .... .... .... .... .... .... .... .... .... —.... — -------- .... .... ... —.... .... ...
---
PROCE%%IN... FEE
%EWER CO.4NECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMEN� DATE RECEIPT� PAYMENT AMOUNT
O3/28/9i i6i2 5O.00
TOTAL DUE=
PERMIT TYPE FEE AMOUNT
--------------- .... .... .... .... .... .... —.... .... .... .... .... ....
%EWER PERMIT 5O.00
-------------
5O.O�
------------
TOTAL PAID= 5�.00
AMOUNT PAID AM�UNT OWIN'
------------ .... .... --.... .... ... ........ ... —.... ....
5O.00
------------ .... .... .... .... .... .... .... .... .... .... .... .... ....
5�.00 .00
PROCE%%ED
�Y� JULIE
%HATTO
PRINTED
BY� JULIE
%HATTO
%EWER JTUB
A%—BUILT TNFORMATION
I% AVAILABLF
�� THE COUNTY
`
UTILITIE%
DEPART�ENT (456—�6O4)
ONT A TOR
OR APPLICANT
I% TO FIELD LOCATE
AND COHFIRM THE
��LXECA^�AIG
�VT ER
ON
N
TO LOCATE
BURIED CABLE%
�A% PIPIN�, WATER
LIN�%, ECT.
...JRt-DI�
(45"-8OOO)
1
%EWER %TUB%
ARE TO BE CHECKED
PRI TO COHNECTION TO .1. 1%
THAT THEY
ARE CLEAR`AN
UNOB%TRUCTED TO T�E
%EWER MAI�
*********
CALL FQR IN%PECTION
PRIOR TO COVER
**********
*********
24 HOUR NOTICE
REQUIRED
**********
*********
456-36O4
**********
********************************THANK
YOU **************************** it, * -Al **