1992, 04-01 Permit: 92002081 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 is true
and correct, and authorize Spokane County to mvuoo with processing. In addition/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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OvvwEROnAGENT 71( L::2^2x1 DATE ^^/ ~ ` ^ ~�2
PROJECT NUMBER= 9200208i
I%%UED PERMIT DATE= 04/01/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE
PERMIT
***
PLATO=
BLOCK=
AREA=
4 OF BL,�%=
OWNER=
%TREET= i7i
ADDRE%%= VERA
i7iO %
VERADAL
RN% RD
WA 99037
PARCELO= 26541-2706
SEWER CONNECTION VERACRE%T (92%-30i)
TE ***
003i36
PLAT NAME= ;ERA CREST
LOT= 6 ZONE= UR -3.5 DI 14=
F/A= F WIDTH= DEPTH= R/W= 50
0 DWELLINGS= WATER DIST =
RICHARD W. & M. CARO PHONE= 509 922 5989
RD
WA 99037
CONTACT NAME= RICHARD & CAROL %CHUCHART PHONE NUMBER= 509 922 5989
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CO'NTRACTGR= OWNER PHONE=
ITEM DESCRIPTION
PROCE%%IN� FEE
%EWER CONNECTION
QUANTITY
--------
FEE AMOUNT
----------
i.O0
40,00
******************************* P�YENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/01/92 2281 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 5O.00 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCE%
cc`^'
BY: DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
SEWER ETU B A% -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TOLOCATEBURIED_CABLE%, GA%,PIPING, WATER LINES, ECT.
)16 ( 456-8000)
CALL BEFORE
SEWER %TUB% ARE
THAT THEY ARE C
******* CALL
*********
*********
u
AN
'WT;ECl
NOTl
CHECKED PRIOR TO CONNECTION TO INSURE
TO THE -EWER MAIN
PRIOR TO COVER **********
REQUIRED
456-36O4
**********
**********
******************************** THANK YOU *********************************