1992, 07-28 Permit: 92004228 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 withpmoesomo In additionI have reaand 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,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= 92004228 I%%UED PERMIT DATE= 07/28/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 416 % VERCLER RD PARCELO= 45222. 1310
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - ULID 488O1 (92%-598)
*** SEE NOTE ***
PLATO= 000162 PLAT NAME= BAUMANN ' SUB
BLOCK= 3 LOT= 3 ZONE= AG%UB DI%T0=
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
= ONYI MARIA PHONE= 509 924 6776
STREET= 2 % V�RCL R
ADDRESS= %POKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE - RON Si OAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRE%%= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 48.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATF RECEIPTO PAYMENT AMOUNT
07/28/92 R4228 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
------------- ------------ -------------
5O.0O 50.00 ^00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES , ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECT N TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEW ..R MAIN
********* CALL FOR INSPECTION PRIOR TO COVER ** ':***K***
********* 24 HOUR NOTICE REQUIRED ** *******
********* 456-36O4 **********
******************************** THANK YOU *********************************