1992, 05-15 Permit: 92002867 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 mooeo with processing. In addition1 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
OWNER OR AGENT DATE
PROJECT NUMBER= 92002867
ISSUED PERMIT DATE= 05/15/92
PAGE= 01
\
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1720 S BURNS CT ' PARCEL4= 26541-2708
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION VERACRE%T (92%-401)
*** SEE NOTE ***
PLATO= 003220 PLAT NAME= SOUTH ADAMS ADD
BLOCK= 2 LOT= 8 ZONE= AGRI DI%TO= F
AREA= F/A�_F WIDTH= DEPTH= R/W=
v OF BLDG%= i 4 DWELLINGS=- lO WATER DIST =
OWNER= DECKER, R L PHONE=
STREET= 1720 S BURNS CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= ALWAYS ACTIVE - RON %LOAH PHONE NUMBER= 509 922 8500
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
PHONE= 509 922 8500
ITEM DESCRIPTION QUANTITY FEE AMOUNT
^ ---------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/15/92 3635 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
- -
SEWER STUB A% -BUILT •INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMEITT'(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, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPOKANE 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 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92002867
APPLICATION DATE= 05/04/92 PAGE= 01
3t3t*3t*3t THIS S :E 3 NOT A PERMIT Vit•. !': :R•P•4t
PENALTIES WI#...i.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
ITt:. STREET= 1720 S BURN: t.:(' FARCE:...:. 2454i -270e
ADDRESS= 'uE::Et(3.Uf7#.-#. WA 99037
PERMIT t::_E:SEWER _CNNECT1;v _iEE�CR ES T(92S-401)
1 * * SEE NOTE 3t 3i• 3t
PLATO= 003220 ;i20 Ems'#...{3T NAME:::::: SOUTH ADAMS (33't'
AREA= I/A= F WIDTH= DEPTH rt:,r:i:.
OF rIL..i?G5:::: .i :: DWELLINGS= 10 WATER DIST ::::
.5.
OWNER= DECKER, R 1.. PHONE=
STREET= 1720 BURN CT
ADDRESS= ti ER iDA#...E:. WA 99037
CONTACT NAME= ALWAYS ACTIVE «.. R f_,i N a LOAN PHONE NUMBER= 5{:j j 922 8500
BUILDING SETBACKS: FRONT= N/A LEFT= ../i RIGHT:::: N/A REAR= N/A
>1..........j,; * hi...k. * * •ii• 3t * it•..y¢ k• 31:. •i....p.....it.t . 3j. 3: SEWER s ERMI"I ***************************K**
CONTRACTOR= ALWAYS ACTIVE
STREET= E::T'::- Pi_St BOX 4?': 62
ADDRESS= SPOKANE WA 99214
PHONE= 509 922 8500
ITEM DESCRIPTION QUANTITY FEE AMOUNT
FRCiC:E;:,SSIiNCi FEE 'f ?0.:00
SEWER CONNECTION 1 40:.0
PERMIT TYPE rEEAMOUNT AMOUNT PAID AMOUNT rx
.dY
SEWER PERMIT 50,00 ,00 50,00
50,00,00 50,00
PROCESSED BY: DOMI•r't';(:iVIC::##, ROBIN
PRINTED BY: ;Di..IM?:TRCiViC::H, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (454-3404)
CONTRACTOR CEAPPLICANT 3 c TO FIELD A EAND CONFIRM - .E
ELEVATION f.:}N! POSITION ION li#« SEWER STUB # #' #.i..i#S TO ANY OTHER
EXCAVATION
TO LOCATE Bt,1 E) CABLES, _ o tiPIPING,
1F1 ; A¢tFrLINES, ECT, ,
CAL.l... BE_F(:it• E OU DIG (456-8000)
SEWER ,'STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION Tc: INSURE
THAT r"I THEY A R i-. CLEAR Fir N I? t.. t . `.. I: S 'r R t.t (`'r E r;;I t:; THE #:. SE::Wi=R MAIN
3t 3t * 3t Y: 3t 3t •A: 3t CALL FOR R Il Si `EC:T1:CiN PRIOR TO :i i;;;i;,iir'E::E't 3t » 3t.::.i r: 31 3t 3t 31
a * r 1 ar 3 r * 24 HOUR N(I_EREQUIRED 9
33?373333
*3t3t**3ti{3t31 456-3604 *3s:3::0.**1':1•:**
3 t t 3 3 } t 3 ) t 3 1 3 S k t t;F t t t t t r 3 t f 3 3 t t THANK Y wJ
3t 3t h• )t.t :d• 3t 3t )?- 3. 3t• !t it 3r ;u• ;:t 3t 3t 3}- 3!- 3t !•: 3t 3t 3t 3t :,. 3y. jz. 3y. ;,: 3,. ;;.