1991, 10-02 Permit: 91004241 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 n and understandmo /wapsorownsou/nsmswTaxwoT/C
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,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= 91004241 ISSUED PERMIT DATF= 10/02/91 PAGE- Oi
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 6O3 % SUNDERLAND RD PARCEL4= 20542-108
ADDRE%%= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - 8802
***
SEE NOTE ***
PLAT4= 001368 PLAT NAME= KELLO ;(7, PARK
BLOCK= i LOT= i ZONE,. AGJUB DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGJ= i � DWELLIN�%= i WATER DI%T =
OWNER= %PRAi.,UE PHONE=
STREET- 603 J SUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDIN� %E�BACK% � FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** JEWER PERMIT ******************************
CONTRACTOR= H & J CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS- SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10, 00
SEWER CONNECTION i 40 . 00
*** * ************************ PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4:, PAYMENT AMOUNT
1O/O2/�i 7210 50 .00
TOTAL DUE-DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 .00 . 00
------------- ------------
50 ,00 50 , 00 5O . 00 .00
PROCEJULIE %HATT(:3
PRINTED BY : JULIE %HATTO
SEWER STUB AS-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DFPARTMFNT ( 456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVf7TION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPIN�, WATFP LINE% FCT .
CALL BEFORE YOU DIG ( 45"-8OOO)
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 T; oGVER **********
********* 24 HOUNGTICE REQUIRED **********
********* 456- 604 **********
******************************** THK YOU **** ** ******** ***************