1991, 11-13 Permit: 91007814 Sewer SPOKANE 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 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 law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF / APPLICATION /`_ J 9/
OWNER OR AGENT 4 +7 �t�42-1 ---,z L&- DATE / J
PROJECT NUMBER= 91007814 ISSUED PERMIT DATE= 11 /13/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 925 S RAYMOND RD PARCEL= 20544-1108
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 8802 (91S-53)
*** SEE NOTE ***
PLATO= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= LOT= ZONE= UR-3.5 DIST*= E
AREA= F/A= F WIDTH= 50 DEPTH= 150 R/W=
* OF BLDGS= 0 DWELLINGS= 1 WATER DIST =
OWNER= ROBERTSON, ADA PHONE=
STREET= 925 S RAYMOND RD
ADDRESS= SPOKANE WA 99206
BU BI TS TpGK ANF i CIN TE LEFT= NA RIGHT= yp RNE I ANERAA509 467 8 787
***************************** SEWER PERMIT ******************************
CONTRACTOR= D & B EXCAVATING PHONE= 509 467 8787
STREET= P 0 BOX 722
ADDRESS= MEAD WA 99021
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY****************************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
11 /13/91 8650 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 : WENDEL, GLORIA
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 *********************************
2 65th ; i/10? Cly-S
JOB ADDRESS: c5 c�S / 6/1
ed._
SUBDIVISION: ._ 1 LOT: BLOCK:
OWNER: ADA r � r e ) PHONE:
ADDRESS:
CONTRACTOR: D&B EXCAVATING PHONE: 467-8787
ADDRESS: BOX 722 MEAD, WA 99021-0722
LICENSE # : DBEXC**099DM
INSPECTION DATE:
TYPE OF OCCUPANCY: