1991, 11-14 Permit: 91007775 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 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 co • ly 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 issuan 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 • ions of ny 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 AGE `� ///� C l DATE // (
PROJECT NUMBER= 91007775
ISSUED PERMIT DATE= 11/14/91 PAGE= 01
**************************** PERMIT INFORMATION *•x**************************
SITE STREET- 3802 S UNION R C r PARCEL; = 33541-9004
ADDRESS= SPOKANE WA 99206
PERMIT USE SEWER CONNECTION - MIDILOME 6TH (91-S39)
*** SEE NOTE ***
PLAT4.= 005026 PLAT NAME= MIDILOME 6TH ADD
BLOCK= 4 LOT= 3 ZONE= UR -3.5 DIST= F"
AREA= 00000000 F/A= F WIDTH= 94 DEPTH= 127 R/W= 50
ir OF BL.DGS= 0 DWELLINGS= i WATER DIST = MODEL
OWNER= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING SETBACKS: FRONT- NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
PHONE=
QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
11/14/91 8676 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
50.00 .00
50.00 .00
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 *********************************