1991, 05-02 Permit: 91001063 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. BROADWAY13�3AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
permit/application,/certify that/have examined this ���m�momm,mmwnoon�m°om.tand nuum/�m»vmeonnv�entmvompno saidpermit/application.o/mo
and correct, andauthorizen kCounty m ceed with nmoossmo 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,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= 9100i063 ISSUED PERMI65/02/91 PAGE= Oi
********* ****************** PERMIT INFGRMATION
= —22542 i3i3
SITE STREET= 512 % VERCLER RD PARCEL4
ADDRESS= SPOKANE WA 99216
PERMIT U%E= %EWER CONNECTION — 8801
*** SEE NOTE ***
PLATO= OO»i6? PLAT NAME= BAUMA ' % SUR .
BLOCK= ' T= ZONE= AG%UB DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLE= DWELLI'NG%= i WATER DIET =
' —
OWNER= RICHARD%ON J & J PHONE=
%TREET= 512 % VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONT R= A L.4,1 A Y% ACTIVE HONE= 5O9 922 85O�
%TREET= PO BOX 14i52
ADDRE%%= SF'OKANE WA 992i4
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------ -------- ----------
PROCE%%ING FEE 10, 00
SEWER CONNECTION OO
******************************* PAYMENT SUMmARY ****************************
YMENT DATE RECEI PAYMENT AMOUNT
2532 �O
O5/82/9i ^
TOTAL DUE=DUE= AO TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
----_----_----- -------_----- ------------
SEWER PERMIT PERMIT 5O,OO 5O,OO , 0O
50 .00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER
STUB W.:.—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APP ICANT I% TO FIELD LOCATE AND CGNFI�M THE
ELEVATION AND PO%�TION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% GA% PIPING, WATER LINES', ECT.
CALL BEFORE YOU DIG (45,6-0000) :
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE C=E R AND UNOBETRUCTED TO THE SEWER MAIN
****** ** CALL IN%PECTION PRIOR TO COVER :k*********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************