1992, 04-01 Permit App: 92002066 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/nom/vmut/ouvooxummoummnmmmunn/.oanvn.mummuuhomm,munonoonmmou.nnunoouomnteuuvmounnvagwntmvomn000umv rmit/application is true
and correct, and authorize Spokane County to mooau 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= 92002066 APPLICATION
DATE= 04/01/92 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------
EITE STREET= %TREET= 2020 % BURNS RD
ADDRESS= VERADALE WA 99037
PERMIT U%E= SEWER CONNECITION - VERACRE% (92%-295)
*** %EE NOTE ***
PARCELO= 26541 -0918
PLATO= 003791
BLOCK=
AREA=
BLDG%=
PLAT NAME= %P-239
LOT= 2 ZONE= AGRI
F/A= F WIDTH= 1250
, DWELLINGS= iO WATER DIST
OWNER= DECKER, RHONDA & JAME%
%TREET= 2020 % BURNS RD
ADDRESS= VERADALE WA 99037
CONTACT NAME= PRO DIG
BUILDING'' ~--~^~'" -,:ON
DEPTH= 1420 R/W=
=
PHONE= 509 924 3670
T=
PHONE NUMBER= 509 927 3979
�� %����CK%:�FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
**************************** %EWER PERMIT
CONTRACTOR= PRO DIG
STREET= PO BOX 329
ADDRE%%= VERADALE WA
99037
*****************************
ITEM DESCRIPTION QUANTITY
------------------------- --
PROCESSING FEE
FEE
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
PERMIT
PROM:%%[
PRINTt
FEE AMOUNT
50.00
50,00 -------------
5O.00
BY: DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
AMOUNT PAID
-----------
.0O
-----------
.00
PHONE= 509 927 3979
FEE AMOUNT
----------
iO.00
40.00
AMOUNT OWING
---------
%EWER STUB A% -BUILT INFORMATION I% AVAILABLE
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD
ELEVATION AND PO%ITION OF SEWER STUB
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPING,
CALL BEFORE YOU DIG (45"-8OOO)
SEWER ';:TUBS ARE TO BE CHECKED PRIOR T
THAT THEY ARE CLEAR AND UNOBSTRUCTED T
********* CALL FOR INSPECTION PRIOR TG
********* 24 HOUR NOTICE REQUIRED
********* 456-3604
50.00
AT THE COUNTY
OCATE AND CONFIRM THE
PRIOR
WATER
TO ANY OTHER
LINES, ECT.
CONNECTION TO INSURE
THE SEWER MAIN
COVER **********
**********
**********
************************** THANK YOU *********************************