1992, 05-19 Permit Application: 92003516 Sewer ConnectionSPOKANE COUNTY DEPARTMENT OFBUILDINGS
wc1mm BROADWAY AVENUE
opowxwE, WASHINGTON 99260
(509) 456-3675
/ certifythat I have examined this permit/application, state thatthe information contained in itandsubmitted by me ormy agent tocompile said permit/application istrue
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 thatthe issuance ofthis permit/application and anysubsequent inspection approvalsor Certificates of Occupancy shall not be construed to
give authority to violate orcancel the provisions ofanystateor local law regulating construction, orasa warranty of conformancewith the provisions of any state or focal
laws regulating construction.
SIGNATURE OF appuoxnow
OWNER onAGENT DATE
-
PROJECT NUMBER= 92003516 APPLICATION DATE= 05/19/92
******
THIS IS NOT o PERMIT ******
PENALTIES WILL BE ASSESSED FOR Co*wEmcIwG womK WITHOUT A PERMIT
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SITE STREET== 1806 % ADAMS RD PARCEL"= 26542-9043
AoonsES~ VERADALE WA 99837
PERMIT USE~ SEWER COwwccTzOm - VEeACRE%T (92%-*78)
***
SEE NOTE ***
pLAT4~ 999999 PLAT wAnc~ nAwcs
BLOCK= LOT~ ZONE= uR-3.5 DI%T�= F
E ~
�R� F/A~ F WIDTH= DEPTH~ R/W~ aO
�
OF oLD�S~ i ®r owsLLznGS= i WATER DIET ~
B= Wob KE �8R, S RD PHONE=
ADDRES.= VERABALE"QA 99037
CONTACT NAME= ALWAYS ACTIVE - RON %LOAw pHOw NUMBEn= 5Op 922 a�w0
BUILDING %ETBoCxE' FRONT= NIA LEFT-.: NIA RIGwT= N/A- nEAn= w/f.",
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SEWER PERMIT ******************************
CONTRACTOR= p*ONE~ 509 922 8508
STREET- PO BOX 141562
AoonsSz= SPOKANE WA 992i4
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y iO.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 .wO 50.00
------------- ------------ -------------
50.00 .00 50180
PROCESSED BY' DOMITROVICH, ROBIN
PRINTED BY' DOMITR0VICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT T*s COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND oQwFzRn THE-
ELEVATION AND POSITION QF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
To LOCATE BURIED cwBLE% sw% PIPING, WATER Lzwsr soT ^
CALL BEFORE YOU DIG (456--8000) ) '
SEWER STUBS ARE BE * TO CONNECTION To IN. uns
THAT THEY ARE CLEAR STRUCTED TO THE %EwER MAIN
********* CALL FOR INSPECTION PRIOR To COVER **********
********* 2* *ouR NOTICE REQUIRED **********
********* 456-3604 **********
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THANK YOU *********************************