1992, 06-29 Permit: 92004099 Sewer ConnectionSPOKANE COUNTY DEPARTMENT OF BULDNGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state thattheinformation ined in it and submitted by meor my agent to compilesaid permit/applicatio
and correct, arid 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 issuanceof this permit/applicationand any subsequent inspection approvals or Certificates of Occupancy shall not beconstrued to
give authority to violate orcancel the provisions of any stateor local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulatin construction.
SIGNATURE OE
APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92084099 ISSUED PERMIT
DATE= 06/29/92 PAGE= Di
**************************** PERMIT IwFORMATzoN *************************
SITE zTREET~ 20i! S ADAMS RD
A nonEzz~ SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - VERACRE%T <92z-567>
*** SEE NOTE ***
pAnosL4~ *5261.290i
PLAT4= 003933 PLAT NAME= KARMA ADDITION
BLOCK= I ` ZONE= oR-3.5 r
AREA~ F/�~ F WIDTH= DEPTH= n/w~
OF aLDG%~ i 4 DWELLINGS= i WATER DIST =
o ' v BERRY PHONE~
%TREET= 2oii % AoAnc no
ADDRESS= %PoxAws WA 9920a
CONTACT NAME= COunC*Azws EXCAVATION PHONE NUMBER= 509 924
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EwEn pERnIr ******************************
CONTRACTOR= UCTION PHONE= 509 92* 5485
STREET= 16*0� vAL r`WAY
ADDRESS= vsnADoLs wo pp03'
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* pAYmEwT %uMMAmY ****************************
PAYMENT DATE RECEzpT4 PAYMENT AMOUNT
O6/29/92 4963 50.88
------------
TOTAL DUE= 'ow TOTAL PAID= rw'ww
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 58.80 50.00 .80
----- ------------ -------------
50,00 50.00 .00
PROCESSED BY' oOmIrnOVICH, ROBIN
PRINTED aY' nOnzTnovzC*' ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, soT.
CALL BEFORE YOU DIG '456-8800/
SEWER STUBS ARE C E
T*�T THEY DE CLEAR AND UNOBSTRUCTED TO THL
********* ALL FOR INSPECTION PRIOp TO COVER
********* 24 HOUR NOTICE REQUIRED
********* 456-3604
ON TO INSURE
EWER MAIN
**********
**********
**********
******************************** THANK You *******************************