1992, 06-29 Permit: 92004373 Sewer SPOKANE 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT lE:C: 1. NUMBER= 92004373 ISSUED PERMIT DATE= 06/29/92 PAGE= 01
••r.ii:ikr ii•*****is* •iiia*****3£•3•***ikit* PERMIT INFORMATION ii•***ii•**•7 ii*fi.it•*i£•*a•i}.ii••r•it..?z>~•ii:f-it•*
SITE STREET':: 1 505 S PROGRESS RD I••'AR:C.E1...4 . 45234 .5203
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION.... VER:ACREST( (92S-624)
*** SEE NOTE **
PLAT4= 003352 PLAT NAME= SOUTH PROGRESS ADD
BLOCK:::: I LOT= 3 ZONE= SFR DIST (.
AREA= F•/A— F WIDTH= DEPTH= Fn= W=
:N: OF Bi._DG5:�: 0 DWELLINGS::: WATER DIST :::.
OWNER::: IMES, HIL.ARY PHONE=
STREET= i505 E PROGRESS RD
ADDRESS= VERADALE WA 990$?
CONTACT NAME= COURCHA I NE: EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT::: N/A LEFT= N/A RIGHT-•: N/A REAR::: N/A
*•x•*ii•itii*ux•i4•is**xisii*****•x*it•kiR: R SEWER PERMIT :*i~•ii•i,:ii•k••h:••n;*ii**k** ****•l{ ii•it••iiiiii*•u
CONTRACTOR= COURCHAINE CONSTRUCTION N PHONE= 5>09 924 5485
STREET= l c+402 E VAL_I. E`i`WA`t
ADDRESS= VERADALE WA 9.037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION I 40.00
*it•it••r:•tt i1iiu•i~*ieiiii*it•r:•it•it*isi{*itieik**ii•x••ii PAYMENT SUMMARY •P•*y?•rib.•***.7l**it*•P:YLA.:**•P:•b:b:**h:**Rh:
PAYMENT DATE RECEIPT4 RECEIPT: PAYMENT AMOUNT
06/29/92 4963 50.00
------------
TOTAL DUE=- ,00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAlI) AMOUNT OWING;
SEWER PERMIT 50..00 50..00 00
r:50,00 50.00 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUBPRIOR T(1 ANY OTHEREXCAVATION
TO LOCATE BURIED CAB1...ES, GAS PIPING , WATER LINES, ECT..
CALL BEFORE YOU DIG (456»-8000)
SE=WER STUBS ARE: TO I'E:: CHECKED J, PRIC:OR 1O CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL FORINSPECTION PRI:OF•. TO COVER *.u•n:ii•N.•i+:ii:r.•aik
itit**ii•* it* 24 HOUR NOTICE REQUIRED u•ae•ie•r•*k*itii• •
*fi:ii•h:•i•:i{•ri** 456-3604 **•P:••A:ik ii•....jM**
?re K*iiit ii *i : iit r*ak i *ii **ii »* THANK YOU t 4i ) t it t ik 11 ` ix A iiif ?P i1fi q *A
) :