1992, 04-14 Permit: 92002086 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, 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
on authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions Many state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
!" I'{ i.! :.! E t.: ! NUMBER- 92002086 t:.t.U!::... i PERMIT DATE= 0404/92 PAl.r:::.:::: i :! '!
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PERMIT INFORMATION
SITE STREET=
•!44::0 L:.
CALVIN LN
PARCEL—O= 26543 ""!J :'?i:4P1 Y
ADDRESS=
VERADALE
WA 99037
PERMIT USE=
SOWER CONNECTION
-
DRY LINE (92S-300)
PLATO=
004245
PLAT NAME=
SP -487
BLOCK::::
LOT=
ZONE-:
AGRI DISTO= I:: -
AREA=
00000000
F/A=
F WIDTH=
i61 DEPTH= 316 R/W= 30
OWNER= CREATIVE DESIGN PHONE= 509 922 655''.'
STREET= 8303 E LIBERTY AVE
ADDRESS= SPOKANE WA 99212
BUILDINGt.::tt f�ti.: NAME=t.: iij::.4•il.l.b`1::. CONSTRUCTION� PHONE NUMBER!509994::i:::i;5
SETBACKS: !"s ;t.!!'u :::: rr : s' -t LEFT= N/A RIGHT= ;.. REAR= N/A
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SEWER P.r`S°.yi..•p'..;i• 3i• fi:• fi: fi: •!r fii �� R• •A: P: fi:..jt. y,•..�..;�..y,.. yt..�..;�: -1+: Ji..N: �P: '14• fi: fi: 4l•
CONTRACTOR= CREATIVE {ttk tt;ttt� PHONE= 7:: r2: r y
y {
ADDRESS= SPOKANE WA 9902
ITEM E:.1'I DL':.,tiE_:!'tiIPT7.t.!!'4 QUANTITY FEE AMOUNT
I
.PROCESSING FEE: Y i%00
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PAYMENT SU, !MF 1{'+.7r %t• •�• fi: i!• fi: i�:.x. �. x. �,..i;..i�? �• fi: i�:..n; .K..j,, .5,..!t: •t�: -�t• �!:• n: •u• sc -r: •n:
PAYMENT DATE
PAYMENT AMOUNT
0404/92 2674 500()
TOTAL i 1 f"lL DUE:::: TOTAL AL.. !' A J.I, = 50.00
PERMIT !' 1 ! r'"E. FEE AMOUNT r•tl'IOUNt PAID AMOUNT C1;,:iING
`fit::. AiEE+'. PERMIT 50.00 5% 00
00
PROCESSED BY: DOM!TROVICH. ROBIN
i'-' E+:.!. NTE:. D B Y . S i i !`'i i R f.i b' I C; !" i, ROBIN
SEWER STUB AS—BUILT INFORMATION S AVAILABLE t i;; COUNTY.
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT .I. TO FIELD LOCATE AND t i 1_. l.. N t'- .1. E•�.; !' j THE
E
ELEVATION
:�, ! J. I.�N AND POSITION O _}EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER t::.R L..J.ME,1• , ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE t.:HE?.:is•:.D P•iIi.it TO CONNECTION TO J.NSt.!R!::.
THAT THEY At•+:E:: CLEAR AND UNOBSTRUCTED ! l._i THE SEWER MAIN
CALL L. O R
INSPECTION PRIOR TO COVER �: N::n: 91.3k $k •Fi •A• ;k a•
24 HOUR , t.! , .L t.: I::. REQUIRED
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THANK •ij t.! I.,t 9` )k it• )!' fi: i•::• 1?' )?- 9 • •1!' )i. �.:}. .�. ji• 1i• .1?• jv .}:. .}� :� • 9L• 3L. :�. jt j}: N. :!,, ft. �{..,�. j:.:l(.