1992, 06-22 Permit: 92004589 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 comp) with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand th • - '.suance • is perm' lication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or - . ncel th provi • o of an ate or ocal law egulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating constru. ion
SIGNATURE OF �i-� APPLICATION
OWNER OR AGEN DATE
PROJECT NUMBER- 92004589 ISSUED PERMIT
i)ATE:::: 06/22/92 PAGE-
-• •. • . ' . •. -• •. •' •• • ••.. • ;-' i'.rT ...1 **)t•****it A•H•****u•i{•**)(********i+:
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SITE ,T:iI" 2204 S BURNS RD
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION .._ V t:1•i1•it_:'.ES T (92E-647)
* )?• ri S E E NOTE ),; .H.:x.
PARCEL -0- 45261,230i
PLATO=
BLOCK=
AREA=
OF itI._Di,•` =
OWNER=
ADDRESS=
003136 PLAT NAME:.:::: VERA CREST
00000000 F/A= F WIDTH= DEPTH=
'M DWELLINGS= E WATER DIST
ROSS, EDWARD I/: P
04BURNS RD
VERADALE WA 99037
CONTACT NAr1i::::::: ARMSTRONG; CONSTRUCTION
BUILDING SETBACKS: FRONT= T'= N:' A LEFT= N; f..t
E
509
».. j' >4 7031
E::I..IONr NU..ii"iBE::R=: 509 928
RIGHT= N/A f`t E!`.I::.f3rk:::: ia,� FA'i
0559
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> >? 3= 1? it• )+: •A.• n• )(• )!: )?• :4. k..j(..lk '+: )+: •F: •1!' i4• •F 7+: ){• J+: •s{• •ri• -bi ,k E:. +h# t::. I'; !'"� E:. i'i ! i .i. i
CONTRACTOR= f•3RMs t Rc:ii'•�?.7 CONSTRUCTION
STREET= P 0 BOX 82
ADDRESS= �ti I'` (; I ls; t�31'�? E WA.... 99214
`Y ,... 1 4
ITEM DESCRIPTION
PROCESSING EEE
SEWER E R i.:O s.E"i T1:i:li''3
ie )k u• •k u )tri * * 3!.• ii •» 3i•) i+i it• •* •u: •N: * )t• . .p• )e ii )+; )!; * ii• •ii•
PAYMENT DATE
06/22/92
92
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
A,fMFr4T
QUANTITY
•Y:
509 :r ,!:r!:r{
FEE AMOUNT
10.00
40.00
SUMMARY t ) 1 ) ) l ) *NiC P7k iPl )))}P1Y P
k C 9
f< CE.1I'iO
4729
.00 TO 1 AL PAID=
E' • E:: E AMOUNT
50.00
50.00
:`E O::F,' 'F ; BY : D0 i:E-i RO ]:C:I.I , ROBIN
P I'!'. 1. N T E" T.) B ''f` : 1;':i M 1. _I E': l.? V 1. i.'. I'•I _, ROBIN
AMOUNT PAIL)
50.00 000
50,00
SEWER STUB AS—BUILT INFORMATION
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR OR
ELEVATION 1-i E''1 i; e
PAYMENT AMOUNT
50.00
50.00
AMOUNT OWING
.00
.00
Is AVAILABLE AT THE COUNTY
APPLICANT 1.:•' TO FIELD LOCATE AND CONFIRM THE
POSITION OF i::. a i:: ! t STUB PRIOR O ANY z H i- R
TO LOi.:!i 1 E wt. i•.IC_D CABLES, GA: PIPING, WATER LINES, ECT,
i., BEFORE 1 .... Ci i,_i DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED
THAT THEY ARE CLEAR AND UPJcIB yT1=UL
* h- •1' * •P. •J?• •n; * •P. CAli... FOR E{: .I.N,\E'E:.t.T1.Or PR1
'PP?- )F- :k )r •'t+: 3t 24 .!c I.1t!t.ii NOTICE 1": i:.Q t.
TO ..;C:1NNy t••N ''f' "'Nr,L:R
. + . i::. t.: i .i. t.1 i @ + !.. .i. i . ...
C:: D i'i 1111 I::: iii I Ft MAI
i
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... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .., ! ! ! ! .: .. .' .� .' ...+: ._ .r .F .. .• ... .H i e, i is if ! i* t
)` )i• )!• •t!' s,..7;: sr ?� •>?• •s?- }!- :!- r,• :+?• }!• �+: i+: J,..s?. 9!• j!. •t,::+!- f!• :+': •t!' i?.:N: i�. )!• 4!• 9� THANK t•:i i"+i j�•. i t, i i„ i :t 9h 7`• :!' 9: 1: ): i:• It 9: 1: 9: fF : ` 4:• 9. 9. 9?• N' !• ?'.• 9. 7: •>t :" •t::::: 1::. Jt :+: 1: