1992, 02-19 Permit: 92000874 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 pr.visions 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/appl• tion and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel •provisions of any state o . al la. re.ulatingconstruction,orasawarrantyofconformancewiththeprovisionsofanystateorlocal
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT APPLICATION
DATE l �/
PROiJE:.C ! N1lIEtEt'1= 92000874 ISSUED PERMIT DATE= 02/19/9.2 PAGE_:: 01
ar it'•**3r 3i 3r***3c***3e 3E*3r 3r 3r*»•3e 3c 3E 3F 3t i4• p 1=R`rt I T INFORMATION **ii•*it*k•it*•a*it ar it is•*a*it*•1r it it***•ir*
SITE STREET= 15.13 s PROGRESS EiI) PARC.E:.L...v::: 23544_..5202
ADD1!E.5 5::: VERADALE WA 99037
PERMIT USE SEWER CONNECTION -" VF::Fc.A('F 'P.::ST• (92S-10i )
*** SEE NOTE *363c
PLATO=1 vim:= 003 152 PLAT NAME= SOUTH PROGRESS
FFCGFEaS A ) ?
BLOCK= LOT: 2 ZONE= SFR
I3Ty=
AREA' 000ihd ?0 Fi- FWIDTH= iOi DEPTH= 130
7 titF'
P x
m OF BLDGS=
'i 4 DWELLINGS= 1 WATER DIST =�
OWNER=: PHIL.L_IPSON, ANDREW P. PHONE= 509 922 0:819
STREET= 1513 S F ROGRESS RD
ADDRESS= VERADALE WA 99037
CONTACT NAME::::: GREGORY CONSTRUCTION PHONE NUMBER= 509 922 0819
BUILDING SETBACKS : FRONT: N/A LEFT-- N/A RIGHT= N/A REAR::: N/A
34••}!•*'*3!•*x 3{**3t x 11:3{3k 34*34**3{fl 3i 3{3{3•:•hi 34.•* SEWER P E:.R M I !y1l•At***•)l**i{ht**R•P•Y{31:ik 9k$•R•*•1{9k){b•'s: :R•ik 3k
CONTRACTOR= OWNER PHONE.::
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F E E � 10.00
SEWER CONNECTION 1 40.00
34*3i••h:3k*3{ *It34.*a)k*** 34.31**3i3i****3:3t PAYMENT SUMMARY ' ;{3r3':3r3tk3E*3k3i3i*3i34•>•:*3:•..:•h?•h:*34*•t'
PAYMENT DATE. RECEIPT g: PAYMENT AMOUNT
02/19/92 1019 50.00
TOTAL DUE::: .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMI. ! 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITF'1OVIC;H, ROBIN
SEWER STUB AS—BUILT .INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEL..I) LOCATE AND CONFIRM THE
ELEVATION AND I0 ITTON OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIEDCABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED Ii'T'ED TO THE SEWER MAIN
'P:p.'3k 3r 3r 3E'P:•14 3r CALL F O Fc HOUR
PRIOR 3 ! t.i COVER A•�•3C it N:'A:�>i'P:R A:
3i**R•34.***34 24 !•1i ll I1 NiT ICE REQUIRED kt3t3'3>.1?3t
456-"3604 P:•N:3i•34.3(•A:•R•** •
. . .. THANK you ... ....... .......
�•u•n•n.•n n r:it•a•�:*x•�•�r n�-:,r 34.31�i 3r�•ie•�-�•3f fl it 3i*34.3r T._i L.i �r 34•it�•3r 3{3i 3r�!•it�r•tr�•x•*3k 34•�:it•r.•3r n•it�•}r it•Jr•tk•se n x�!••tr
JOB ADDRESS: 3, /' /J 7z, &e6/S \f&g4bcCiAL ut)/ Vo3 7{
Gr'SUBDIVISION: LOT: BLOCK:
OWNER: PcDLr 4I(u/( i PHONE: f II Z 08/9'
ADDRESS:
CONTRACTOR: o '
`
7 g - i c 1 flli PHONE:
ADDRESS:
LICENSE t : (c ie C (v0CC0 c\ J
INSPECTION DATE:
617
TYPE OF OCCUPANCY: