1992, 06-04 Permit: 92002781 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 proceed with processing. In addition, / have read and understand the INSPECTION Eo ME
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 ORAGENT DATE
PROJECT NUMBER= 92002781
ISSUED PERMIT DATE= 06/04/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2012 % BURNS CT PARCEL4= 26541-2009
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - VERACRE%T (92J-382)
*** SEE NOTE ***
PLATO= 003i36 PLAT NAME= VERA CREST
BLOCK= 2 LOT= 9 ZONE= AGRI DI%T4=
AREA= F/A= F WIDTH= DEPTH=
� OF BLDG%= i 4 DWELLINGS= 10 WATER DIST =
OWNER= CAMYN JE PHONE=
STREET= 2012 % BURNS CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/AN REAR= N/A
R/W=
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & coNsT ON
STREET= i1817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
-------- ----------
Y iO.00
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/04/92 4187 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 5O.00 .00
PROCE%%ED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER %TUB 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 IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************