1992, 04-16 Permit: 92002418 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 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, 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= 92002410
41 is
APPLICATION DATE= r.= 04/z,'y;';r..' P{.:j+_.1::.::: ()•I
1i• •i N: • * * T r'i .i. {i IS NOT A PERMIT * ii %r; 'k •a ie
PENALTIES WiiiBE A'k=rSEC= ! i COMMENCING WO:K WITHOUT rPERMIT
EITis STREET= 1809 9 ;ti
BURNS �;,:� RD
ADDRESS= vF:F'tADAL.i::: WA 99037
r
PERMIT II;, SEWER CONNECTION _- 't:F F\Al hl::ET (92E-320)
PARCELO= 2654i-2501
_ VERA CREST
PLATO= 003.136 r� i._r�?! .: .Fi1"I :.'::
BLOCK= i
ARE::±:= f:'/A= F WEDiH:::: DEPTH=
:„ O1.. BLDG 'i 41 DWELLINGS= 'i WATER DIET ::::
R:'iii:_: :i(i
OWNER= ARCER , A G PHONE=
E::=:.
STREET= 'i p()9 BURNS RD
r?DI:,RESS:::: VERADA1...F WA 99037
CONTACT AC 1 NAME:.::: C t... c 1,.ONz •TRUCTTONrPHONEI4Ui`1T^:l::.i•t`:=: 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= t4i'Fi REAR= N/A
* 9{.:Y: •1+: •}i * 4': •H.' P• • 3t• ai• -Ji• •P: •A• * :p 9i• * * * * •)i- k -A• * •k i!' 3 SEWER PERMIT
Er .k :a: •A: •A• }4 ii• P: li -J? ii- -)l• 'b: k 'N. : ik 'P: ll' •N: •P:• •th •P: -H: P• i'• •A th •]t:• N: *
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 992-16
;`,
,-
09 927 6760
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE:. 'r' 10.00
SE.WEt'.CONNECTION '1 40.00
FEE AMOUNT A;ic:UN_i PAID AMOUNT OWING
EEWER PERMIT
50.00 .00 0 5{%:0°.Y
PERMIT •T'Y'F'F:
PRI i�?•TED
BY: i jM:3. T i:OV.i.i:.'•H : ROBIN
BY: IiC)i"iITFtOVIi.H, ROBIN
SEWER :• i ,.l B AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
36
CONTRACTOR OR F;: F'?i :=Pi...:i:C::faN-t' IE TO FIELD i...C:i?::r''?TF: r°? N T:;
C: r; i:,l f: 7: y... ; Hit
ELEVATION , 4 i',i;, POSITION OF SEWER STUB i:: i =; :i. i.4 , :' TO r•-? ;`•a Y t? I- r•; EXCAVATION
TO ...CJCATE BURIED C::AI:LE::. tY :E PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG 5 6000)
,SEWER STUBS U1:+S AE+`.E TO BE CHEt.:KE:.. PRIO.. TO i.:t.SNNE
THAT THEY ARE CLEAR AND UNOBSTRUCTED Ti't°I._IC:',•TE D T;`i T.'
•ii• ii •ii• •b: • ii ii• u k: ii 456-3604
fiON TO INSURE
EWER MAIN
.: ': ,1 .............
.... It * ..........
....*..............
: ' t: • i.::- iii• Jt )i• i7 li' 9 {• 3{• ){' )E Ji• 1t• * )!,' :11• iE )4 .}i. Pl �i ii 'iv 9@ }t t•:- N• ) i• X• THANK •.:.--. , ........ .. t
%•.• :. 9 % You t„! 1{- ?{' :k: ?t ii' 94.91 ai- Jt ii- 9t P: ii J`::�` +i- ft 4+: ')i- )?- )` 1 i' !: ji• )i 9i ?i •ji- -)?- 9'- )t * '7:
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 SkCounty to proceed 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
OWNER OR AGENT DATE
PROJECT NUMBER= 920024118 ISSUED PERMIT
DATE= 04/16/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1809 E. BURNS RD PARCEL4= 2654i -250i
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - VERACRE%T (92%-328)
*** SEE NOTE ***
PLAT4= 003136 PLAT NAME- VERA CREST
BLOCK= i LOT= 7 ZONE= UR -3.5 DI%T4= F
AREA= F/A= F WIDTH= DEPTH=
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= ARGER G
�
STREET= 1809 ^ BURNS RD
ADDRESS= VERADALE WA 99037
PHONE=
R/W= 50
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 927 6760
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y i0.00
SEWER CONNECTION i 4.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/16/92 2760 58.00
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 5O.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3684)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE'
BURIED CABLE% �A% PIPIN� WATER LINES, ECT.
! '
CALL BEFORE YOU 0I6 (45:5-8OOO>
%EWER STUB RE TO BE
T LH %TP ED T TO C N E%CETIEN
ARE ("AFAR AN R TCOVER *****M*TAO**IN*I
CALL FukN*THA*THENEC N PRIOR O********
%URE
24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************