1992, 11-02 Permit: 92009612 SewerSPOKANE 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, anduumorizeu County
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
OWNER OHAGENT DATE
PROJECT NUMBER= 92009612
ISSUED PERMIT DATE= ii/02/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1511 % BURNS RD
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - VERACRE%T (92%-1133)
*** SEE NOTE ***
PARCELO= 45234.4801
PLATO= 003389 PLAT NAME= EASTMAN ADD
BLOCK= i LOT= i ZONE= SFR DISTO= F
AREA= F/A= F WIDTH= DEPTH= R/W= 40
A OF BLDG'S= i 0 DWELLINGS= i WATER DIST =
OWNER= HINSHAW, LARRY
STREET= 1511 % BURNS RD
ADDRESS= VERADALE WA 99037
CONTACT NAME= ARMSTRONG CONSTRUCTION
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
PHONE=
PHONE NUMBER= 509 928 0559
***************************** SEWER PERMIT ***************w**************
CONTRAC OR= ARMSTRONG CONSTRUCTION
STREET= P 0 BOX 14282
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 928 0559
QUANTITY FEE AMOUNT
--------
Y
10,00
1
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
ii/O2/92
TOTAL DUE=
RECEIPTri PAYMENT AMOUNT
9735 50.00
.00 TOTAL PAID= 50.00
AMOUNT PAID AMOUNT OWING
PERMIT TYPE FEE AMOUNT
------
SEWER PERMIT PERMIT 50.00 58.00 .00
90.00
PROCE%%ED BY� DOMITROVICH, ROBIN
PRINTED BY� DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
50.00 .00
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, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS RE TO BE CHECKEDTO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************