1991, 06-28 Permit: 91003741 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 permit/applicationis 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
APPLICATION
PROJECT NUMBER= 91003741 ISSUED PERMIT 'DATE= 06/28/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 14711 E 15TH AVE PARCEL4= 23543-1411
ADDRE%%= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION FOR RESIDENCE
PLATO= 000368 PLAT NAME= CHERRY ACRE%.SUB `
BLOCK= 4 LOT= ii ZONE= UR 3.5 DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= iOO DEPTH= 135 R/W= 58
OF BLD G% WATER DIET = VERA
OWNER= ' K LYLE & EVITA PHONE= 509 922 0180
JTREET= 19 � 5TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= LYLE OR EVITAKRI%LOCK PHONE NUMBER= 509 922 OiRO
BUILDING SETBACKS : FRONT= 30 LEFT= 2i RIGHT= 12 REAR= 64
************** ************** %EWER PERMIT ******************************
CONT = UNKNQWN PHONE=
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y iO.00
SEWER CONNECTION 1 40 .00
******* ********************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/28/91 4238 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCE%%ED BY : JOHN LAR%ON
PRINTED BY : FORRY, JEFF
******************************** THANK YOU ********************** *********
,„
SPECIAL CONDITION CHECKLIST
Project , -� '
Address: Project# Use:
Dept: Date: Condition: !nit: App,:
(in) (out)
Dept.of Bldgs.
Special nsp.Final Report
Hydrant( )
_-
Lock Box
___- --
Engineer's _ RID/CRP
Easements
_-
Road Plans/Improvements
Bonds
Planning -_ -_ Bonds
--{
Utilities Double Plumbing
--
ULID
Other
- --
•
~^~``~~```"—**—********THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY``~^^^'`~`~~``^`~~~```````
Date received for C/O procesin0: . Plans pulled for final processing:
Temporary C/cD issued: Certificate of Occupancy issued:
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: _ Date:
Plans returned: Received by: