1991, 10-01 Permit: 91006408 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 c ,mm and athorize Sx County to proceed with processing. In additionI have reaand 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 visions 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 q
OWNER OR AGENT DATE
PROJECT NUMBER= 91006408 'ISSUED PERMIT DATE= 1O/O1 /9i PAI;E= Oi
* ************************** PERMIT INFORMATION ****************************
%ITE %TREET= 1021i E 9TH AVE PARCEL4= 20544-0439
ADDRE%%= %POKANE ,.,,... . .. 2O6
PEPMIT U%E= %EWER CONNECTION - ULID 8802
PLAT4= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 4 LOT= ZONE= A�%UB DI%TO= E
AREA= 00000000 ESA= F WIDTH=
~ DEPTH= R/W= 5O
4 OF BLDG%= i 0 DWELLINQS= i WATER DIET =
OWNER= RORY PHONE=
%TREET= 10211 E 9TH AVE
ADDRE%%= %POKA..... ....... .. ...2O6
CONTACT NAME= WILLIE ROY CONSTRUCTION PHONE 509 928 5323
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
********************* ********
CONTRACTOR= WILLIE ROY CGNT PHONE= 50... .. 28 5323
STREET= 15516 E 14TH AVE
ADDRESS= VERADALE WA 99037
ITEM DEECRIPTIGN AMOONT
------------------------- -------- ----------
PROCE%EING FEE Y 1O .�O
%EWER CONNECTION 40 . 00
******************************* PAYMENT %UMMARY ******************* *******
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
10/01 /91 7113 50 . 00
TOTAL DUE=DUE= . 00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50.00 50. 00 .00
------------- ------------
50 ,00 50 , 00 5O . 00 .00
PROCE%%ED B; : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITIGN GF PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG ( 45"-8OOO)
SEWER ETUDE ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBTRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*** * ************************* THANK YOU ****************************** *