1991, 10-31 Permit App: 91007233 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
ti
W. 1303 BRfiAOWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have exam ined 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 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, was a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT d,;a••;t•tE{-+;= 0007"33 APPLICATION ..it"}....E't 4:!. 3'i . `t
PAGE= Oi
_,i• t: p• * :1i..j,. THIS T x �
NOT A PERMIT *****)(-
PENALTIES W
3N*(;iPEN<,;..7:•,, BE ASSESSED FOR COMMENCING 4l_t WITHOUT . PERMIT
--------------------------------
I iSTREET=
iL : t c't 26TH f 1 : A R tf t
..26544—i904
YYVERADALE
PERM!.t#::.= SEWER CONNECTION '••- tiF:"R.r•`}CE E;-
S E E NOTE **.)(-
PLATO=
ji.*.ji.
BLOCK= 3 LOT= to ZO%•!"r.":::: SFR D:t: ;"i^:t,..... ;..
AREA=
.,_..A 00 000000 F%A= F WIDTH:::: DEPTH= r-,:::
R ,::
! OF B,yyY::i NDWELLINGS= i WATER DIST
OWNER= WILSON PHONE::::
STREET=
tt+ •
ADDRESS= VERADALE WA 99037
CONTACT 1:s1:STEVE
.CRISP i1 : it't„J PHONE NUMBER= ' > 534 `::i
:.... .. ..... i• ::.::::.: 1{• 73: 'K• '/{' ii•';k •!{• !ii '1i' ii• /i• '1{' 7t :�' :n.' }(..}ti •iL �!' Ji: 'A- 7k 'n: -7{' } 13 n n ii
SEWER ".P":"•i¢ •>R• •1i• 1{•'Ni jl•'ni -lk •Ni 'h: •li•'li•')L• ii•'ni •iii •Nt '1{ -;" jti 7k :�31 J?- iii i>'i 'ni -!k 1i-'ni •iii
509 534 Q05
CONTRACTOR= CRISP •P COiJ,;• t RUt"• t.t.ON .t. tY L.: PHONE=
STREET= 3608 E 5TH AVIii:
ADDRESS= SPOKr=}NE WA 99202
ITEM DESCRIPTION QUANTITY FEE AMOUNT
.........._ ............_........................................- _.................. _........" ............................ —.................................. ----
PROCESSING
;:;'titCE :S S I NG( FEE •'r" 10 . is 0
SEWER �:ONNEC.•( ION i 40:.00
PERMIT TYPE
---------------
SEWER PERMIT
FEE AMOUNT
-------------
-------------
PROCESSED i',: • D 1..J tl .i. S !'L. l +,� I i": 't � . ROBIN
PRINTED :i: Y: JULIE �S ••i A I T' J
AMS;Ii_fN•T Ems:A:i::j
------------
.00
------------
.00
...................-......-"................,it0
AMOUNT OWING
............ _ r.. „,
0
? .: i.:j 4:j
----------------
0.:0ii
SEWER . ?B AS—BUILT ItE1Et ,(N IS AVAILABLE A THE COUNTY
DEPARTMENTUTILITIES
CONTRACTOR t.il•: APr'....... _.f}.. t'_ ISi t.. FIELD .............. E... 1�::r ['E:. AND E..:+.;i��� .i.,�:;�� THE
ELEVATION A N ;. i POSITION iii: SEWER STUB PRIOR TO i i N Y OTHER
EXCAVATION
TO
LOCATE BJE'
CABLES, GAS PIPING, WATER LINES, Et .,
CALL
BEFORE i t. U D :E G (456-8000)
SEWER STUBS ARE TO
if t i ii iii '1+ r i s if i s ii !i n iii is i{ )k ii ii 3E '!r ii ;+ fi: ai i�? iu. ! i iE a* ii ii ii
BE CHECKED PRIOR TOCONNECTION
TO INSURE
THAT I i E"JE Y
ARE
CLEAR
AND UNOBSTRUCTED To
THE
SEWER "iA.i.N
CALL
F O P':`
INSPECTION PRIOR S +_j
COVER
!i• ae n• •ii• r:i�"ii: yt •jR
24HOUR
N'TiC- REQUIRED --_IR-?
•a<' ;::_::. 7::: 7: •;: ;: •it
1,..1{. 7i..}k if .ji. 7{..n: •n:
•tfi..!C.) :.:i ?:14
.1,..n: 73: •n: 73: •1t• •iE �1i- •.i: 7{•
THANK Y I,,,t i_ 1
TELEPHONED
TOPS
9
PORTANT MESSAGE
FOR
.M.
ATE TIME P.M.
J �Y c) Y J
F
OF-
PHONE
PHONE
AREA CODE NUMBER EXTENSION
WILL CALL AGAIN
WANTS TO SEE YOU
:RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
MESSAGE
�f
SIGNED
LITHO IN U.S.A.
TELEPHONED
TOPS
9
PLEASE CALL
GAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
:RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
FORM 3002P
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