1992, 05-26 Permit App: 92003712 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
..... 92003712
,.�:...l.S•..??::.{.: ? 1`)I t?~t.:�..:.l,,_.. APPLICATION DATE=L':.... !,:?..?t2ti.}i x.. PAGE= 01
PENALTIES WII...I... BE ASSESSED FOR COMMENCING Wc:IRK WITHOUT 't I"ERMi.!
STiE STREET= 1510 S PROGRESS RD PARCELO= 23544-4805
ADDRESS= VE.F:ADAL.E WA 99037
PERMIT USE= SEWER CONNECTION — VERACREET (92E-515)
PLAT4=•n'-' t.l0338?' PLAT? NAME= EASTMAN ADD
BLOCK= L.
AREA=H.... 1•• F3= t" WIDTH= DEPTH=!? - .c,; W=::
OF B 1._D t:;S= ', 4 )i F.i...i...:f N i;' ::::: 5 WATER D
OWNER= MOOS, JEFFREY PHONE=
STREET= { ! '1 C' E PROGRESS RD
A.ii D R Ei,'::::: `1,'E f'a:('=i 1,1(=i 1..E WA 99037
CONTACT Nf=:t`'?t:.:::: N`::.":1:+.=••I CONSTRUCTION I.:?..?{.at`..::. i'...ti~'t.. ::.r{::: 509 487 y ';?•<i'i
BUILDING Orr'.; : FRONT= N/A
LEFT=:: N,=•A R:rGHT::- N/A REAR= N/A
.?;:.1::g,:.P:.,t:.x.*.n..},.*.t,..},..jl..jl..tt•!k'P:•h:'N:•!i-F'ik Jl ik N:$:*1!-'A:• SEWER PERMIT 'P:'1k yt fit:*i{••P:'fl it'A:i!:•!f'*3{•9k**.j4..A:..P:']r:tt••)k it•*'Jk•/4''p•'P:P:
CONTRACTOR= NEKICH CONSTRUCTION I_I' Orpt?::.= 509 487 1041
RI::E:. i:_. 7708 4!''STANDARD T7 RD
A 7DRf':cby " SI«-{_tK.(-A'iNE,..WA 99208
ITEM d?ES{.:r'-:.I.P.! .1.OiJ QUANTITY r E:E: AMOUNT
PROCEEEING FEE 1 10..00
SEWER CONNECTION i 40,00
PERMIT TYPE "ClAMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 „00 50,00
50, 00 50.00
PROCESSED :t'r : a;{±?~?.t__? ";{?'n.?.i.: '? , ROBIN
PRINTED...:i:i {:i'•j . iOMJ. i R°{.I\l+IEN, ROBIN
,:;l::.{xj?::.?'': TTUB :: t{.?..?...T .;.?•., t.:R??f'I .+..1 i. .. 6::v A .?...f•i R?...::. AT THE E E„' -it..?`••f I 't,'
{.. ! ...t....1. ? .t.F:.:`: I.?I::.F”(.yR ? !~?l::.?A ? (456- 604 )
CONTRACTOR
iNTPA : CR CR APPLICANT 1 . T _ FIELD LOCATE i NCONFIRM THE
ELEVATION
A r'!T.? I {.!,`:.I. 11:;::t:i OF SEWER ,:: ? {.IB:+ PRIOR TO? i::N Y OTHER
EXCAVATION
TO LOCATE i::. BURIED CABLES, _ FE PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
E?::.{,.?::.?•'; STUBS t.1a':. A:'';E:. TO BE CHECKED PRIOR TO CONNECTION TO :I:N,:>t.iRI::.
THAT THEY ARE CLEAR l AND UNOBSTRUCTED TO THE SEWER MAIN
.t,.:t,,**.p.9,:.A*x. CALL ?'O R INSPECTION PRIOR TO COVER fi:'ri:u• :u:*'hi.u. ...
i>:'**.li'i!6 it*i„.;k
:: HOUR NOTICE rrztac ,
: 4x456. :6;4
jl..p..k..p..P:'tE•h:•}i:ih•R:
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