1992, 10-14 Permit: 92008636 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303AAROA0WAY 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 correctand athorize Sxu County to m000u with processing. In addition, I have read and understandmo /wapsuT/ownsoumsmswToworms
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,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= 92008636 I%%UED PERMIT DATE= 10/14/92 PAGE= 01
****** ********************* PERMIT INFORMATION ***** ******* ***** **** **
SITE STREET= 19i4 % PROGRESS RD PARCELO= 45261 . 2017
ADDRE%%= VERADALE WA 99037
PERMIT USE- SEWER CONNECTION - VERACRE%T (92%-990)
*** EEE NOTE ***
PLATO= 002748 PLAT NAME= VERA
BLOCK= 2O8 LOT= ZONE= AGRI DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 40
o OF BLD7,%= i 4 DWELLINGS= i WATER DIET =
OWNER= HYATT PHONE=
STREET- 1914 % PROGRESS RD
ADDRE%%= VERADALE WA 99037
CONTACT NAME= ALWAYS ACTIVE PHONE NUMBER= 509 922 '6500
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 85OO
STREET= PG BOX 141562
ADDRE%%= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 , 00
%EWER CONNECTION 40 . 00
******* **** ********* ******* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/14/92 8999 50. 00
TOTAL DUE-DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50.00 5 5 .O0
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER %TUB AE-BUILT_ INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLEE, GA% PIPING , WATER LINES , ECT ,
CALL BEFORE YOU DIG ( 456-0000)
%EWER %TUB% ARE TO BE CHECKED P7, IOR TO CONNECTION TG INSURE
THAT THEY ARE CLEAR AND UNOB%TR ]CTED TO THE :SEWER MAIN
********* CALl PHIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
**** ******* ******************* THANK YOU *********************************