1992, 04-28 Permit App: 92002885 SewerSPOKANE 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 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, 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 UMBER= 92OO2885 APPLICATION
DATE= 04/28/92 PAGE= 01
*** THI% I% NOT A PERMIT ******
PENALTIE% WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
.
SITE %TREET= 2416 % %UNNYBROOK LN
ADDRE%%= VERADALE WA 99037
PERMIT U%E= SEWER CONNECTION - EVERGREEN
*** ?EE NOTE ***
PLAT4= 005124
BLOCK= i
ARE�-
4 OF 3LDG%=
OWNER= WR%&A,
%T- P G BOX 1
ADD RE%%= SPOKANE WA
PLAT NAME= %UMMIT AT
LOT= 1500 ZONE= pi
F/A= F
4 DWELLINGS= i WATER
PARCELO= 26543-0202PTN
POINT PUD
NAME= BILL %MITH
-----'- ----
IATE% INC
(92%-4O9>
F
PHONE= 509 922 0782
PHONE NUMBER= 5O9 922 0782
��� '
BUIL%ETBACK%: FRONT= N/A LEFT= N/A RIGHT= N/A REA�= N/A
*************************** SEWER PERMIT *****************************
CONTRACTOR= W R % & A%%OCIATE%
%TREET= P O BOX 14084
ADDRE%%= %POKANE WA 99214
ITEM DE%CRIPTIGN
PRGCEINiv FEE
SEWER CONNECTION
PERMIT TYPE
EEWER PERMIT
PERMIT
PHONE= 509 922 0782
FEE AMOUNT
----------
10,00
40.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
50.00 ,00 .00 50.00
----------- ------------
50,00 .00
.00
\RTM
ROBIN
ROBIN
CONTRACTOR OR APP..I[
ELEVATION AND PO%ITI
EXCAVATIGN
TO LOCA -2.,_,
CALL BEGE
%EWER %TU
THAT THEY
'
*********
********
*********
INFO
AT
-��
I% TO
en
L.
7 I
I% AVAILABLE AT THE COUNTY
AND CONFIRM THE
TO ANY OTHE�
CABLE,.:,,GAS PIPINGWATER LINE% ECT
)I� (45-8O00} ' ' ^
[ON TO IN%URE
�WER MAIN
**********
**********
**********
******************************** THANK YOU ********************************