1989, 11-20 Permit: 89004806 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have exam i"d ON perm A and statet1hat the infomation cwAined in A and submitted by me or my agent to compile said permit is true and correct. In
unumon I have mad and understand the INSPECTION REOU I REM ENTS/NOTICE provisions included herein and agree to comply with same. All provisionso//m°o
and ordinances govern mothis type o work *moocomplied with whetherspecified hom/no,nnt./unuommnummmo/oxuuncomm/unonnuunoanvovuoequnnt
inspection approvals n,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 pwisio" & a" state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER onAGENT DATE
PROJECT NUMBER= 89004806
DATE= ii/20/89 PAGE= Oi
I%%UED PFRHIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= i4005 E 26TH AVE PARCELO= 26544-9090
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION
PLATO= EVER3 PLAT NAME= EVERGREEN POINT 3RD ADD
BLOCK= i2 LOT= 2 ZONE= SFR DI%TO= F
AREA= F/A= F WIDTH= 85 DEPTH= 125 R/W= 50
0 OF BLDG%= 0 DWELLINGS= i
OWNER= WR% & ASSOC INC
STREET= POB 14084
ADDRESS= SPOKANE WA 9904
CONTACT NAME= BILL SMITH
BUILDING SETBACKS: FRONT= NA LEFT= NA
PHONE= 509 922 0782
PHGNE NUMBER= 5O9 922 O792
RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= W R % & ASSOCIATES PHONE= 509 922 0782
JTREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
RECEIPT:!!:
PAYMENT AMOUNT
ii/20/89
5836
500O
TOTAL DUE=
.00 TOTAL
PAID=
------------
5O.00
PERMIT TYPE FEE
AMOUNT AMOUNT
PAID
AMOUNT OWING
--------------- -------------
%EWER PERMIT
-------------
------------
50.00
5O.00
-------------
.00
------------
50.00
50.0O
-------------
.00
PROCESSED BY: STEVE HOLYK
PRINTED BY: STEVE HOLYK
******************************** THANK YOU *********************************