1992, 04-13 Permit: 92001984 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 authorizea kCounty to m0000 with processing. In addition / have read and understand the INSPECTION REOUIREMENTS/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= 92001984 I%%UED PERMIT
DATE= 04/13/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
ITE %TREET= 2i15 % BURNS RD
ADDRE%%= VERADALE WA 99637
PERMIT USE= SEWER CONNECTION - VERACRE%T (92%-281)
*** EEE NOTE ***
PARCEL4= 26541-2110
PLAT4=
BLOCK=
AREA=
4 OF BLDG%=
OWNER=
STREET=
ADDRE%%=
/
5i36
PLAT NAME= VERA CRE%T
LOT= iO ZONE= AGRI
F/A= F WIDTH=
0 DWELLINGS= iO WATER DIST
FREDICK%ON P J
2115 % BURNS RD
VERADALE WA 99037
CONTACT NAME= FORDS CONSTRUCTION
BUILDING %ETBACK%: FRONT= N/A LEFT= N/A
***************************** SEWER PERMIT
CONTRACTOR= FORD% CON%TRUCTIOL
%TREET= 97i3 E 4TH AVE
ADDRE%%= %POKANE WA 992O6
ITEM DE%CRIPTION
PROCESSING FEE
FEE
%EWER CONNECTION
*******************************
PAYMENT DATE
O4/i3/92
TOTAL DUE=
PERMIT TYPE
EEWER PERMIT
PERMIT
PROCE%%[
PRINT|
PHONE=
DI%TO=
DEPTH=
=
PHONE NUMBER= 509 924 6.182
RIGHT= N/A REAR= N/A
******************************
PHONE= 509 924 6182
QUANTITY FEE AMOUNT
-------- ----------
y
10,00
40,00
PAYMENT SUMMARY
****************************
RECEIPT4
2630
.00 TOTAL PAID=
PAYMENT AMOUNT
50,00
50
FEE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
50,00 50,00 5O.00 .00
----------- ------------
50,00 50,00 5O.00 .00
BY: DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER JTUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GASPIPING, WATER LINES
CALL BEFORE YOU DIG (456-8000)
%EWER %TUBE ARE TO BE CHECKED PR
THAT THEY ARE CLEAR AN) UNOB%TRU[
********* CALL FOR IN%,ECTION PR
********* 24 HOUR /�OTICE F
********* 456 -
%EWER
TO CONNECTION TO INSURE
D TO THE %EWER MAIN
TO COVER **********
''''''''''
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**********
****************************** THANK YOU *********************************