1992, 06-16 Permit App: 92004372 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, slate 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 l 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= 9 )o0.4:372
APPLICATION
DATE= i?,v;'i rii92 PA
THIS IS NOT A PERMIT ii'****k
PENALTIES IW.I.i._L., Et F: c1 J,.i E:. SEEi:LD FOR COMMENCING WORK WITHOUT A PERMIT
SITE ETRE::ET=: 024 s MAME:R RD
ADDRESS.... SPOKANE WA 99:706
PERMIT
ERM;T E.. =• SEWER CONNECTION- ,i_f:rc
=.9:J',:,i
ilk** SE:.l: NOTE ***
PARCEL4= 41:P24.0214
PLATO= 0027=3 PLAT NAME- VERA
2 LOT= "'" "i ZONE= E:.- l Iv [< _i1.: it
AREA= 00000000 F/A=:: F WIDTH= DEPTH=
it OF iji...Di%nS= 'j it DWELLINGS= 'i WATER DIST -
OWNER= MOORE, T A
STREET= 824 S MriMER: RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COi.1FtCHAINE EXCAVATION
BUILDING LDI.NG:: Sii.:TBtACKS: FRONT N/A LEFT== N/A
:pt .x.* ...)i..k..k..y;}t.}i.}k}i.ii u'',
xie}k}k.•k}i'}k}
SEWER PERMIT
CONTRACTOR= COL1RCEIAJ:NI:E CONSTRUCTION
STREET= 16402 F.:: VAL..L..E::'YIAIA'Y
ADDRESS= VERADAl...r... WJri 9903::
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
PHONE=::
PHONE NUMBEi:i{== 509 924 °405
RIGHT= N/A REAR== N/4
}i' .ii. }k * }e*****
PHONE: 509 9?
QUANTITY FEE AMOUNT
1
a--;-til
40,00
FEE AMOUNT AMOUNT i'AID AMOUNT OWING
50.00 .00 50,00
50,00 ,00 .50.:00
PROCESSEEI? ;s : DOM.'L'ROV.LCH. ROBINPI't.I.N rEI) :B'r : DOM). rRoV).0 H, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
i.i7.l...i T'.E.E.• DEPARTMENT v
(456-3604)
CONTRACTOR OR APPLICANT IS TO FI:EI...I:) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE_ BURIED CABLES, G
CALL BEFORE YOU DIG (456-B
PIPING; WATER LINES,
+) )
SEWER STUBS ARE: TO BE CHECKED PRIOR -.'O CONNECTION O INSURE
THEYTHAT THEY ARE CLEAR AND i. INOB.CTitii1T::'1-I:::L T.. Ci THE. SE t MAIN
rr.k.tt..tt.}eii.;i.}t.. CALL FOR INSPECTION PRIOR: Tt:i t.:0\,F1< 3kk}Hkgk'hi}iiiik
nax}}}ca;24 HOUR NOTICE
REQUIRED
***K******
hk d9}iri}456-3604 k$k AR$k}p}
)1e'il'}t".) }l"a, }t'*it }F'ii'}t it'.Y'.**)E';i') H'Yf' It}t*fit")i'
9r# THANK tt_... 'k'* d'* ii.u'i
'H'"#'h',t'li'?k $ k }i A: df JFh} ,e ,f'le * * — $k'$