1992, 05-19 Permit App: 92003537 Sewercertify that l nevi
I correct. and
SIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)656-3675
aaalication. state that Information contained in It and submitted by me crony agent fee,
cony to proceed with processing. In addition,I have read and understand the INSP[
"_...._...._ri.o<en...nine this tvoeotwork will
APPLICATION
DATE
orlocal
PROJECT NUMBER= 92003537 APPLICATION DATE= 05/19;92 PAGE= 01
***r*9 THIS IS NOT A PERMIT *****•
PENALTIES WILL DE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13406 E 10TH AVE: PARCEL.:= 22544-1403
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - WOLFCREST (925-491)
+ SEE NOTE ***
PLATG= 002753 PLAT" NAME= VERA
BLOCK= i LOT= 2 ZONE= SFR DIST'.= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGS= 1 I DWELLINGS= 1 WATER DIST =
OWNER= MILLAR, JAMES B
STREET= 13406 E ii AVE
ADDRESS= VERADALE WA 99037
PHONE=
CONTACT NAME= H h S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= I LEFT= NIA RIGHT= N/A REAR= N/A
r•it■*�r iF■*it it*• SEWER PERMIT ,EaEiEititxiE*aE:xx>te>F
CONTRACTOR= H 8 S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E V'ALL.EYWAY AVE.
ADDRESS- SPOKANE WA 99206
ITEM DESCRIPI"ION QUANTITY FEE AMOUNT
----------------------- -------- _------_--
PROCESSING FEE:. Y 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 00 50.00
------------ ----_______—_-
50.00 .00 50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AE—BUILT INFORMATION IS AVAILABLE AT THE.. COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS 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 DE CHECKED PRIOR 10 CONNECTION 10 INSURE
THAT THEY ARE CL -EAR AND UNOBSTRUCTED TO THE SEWER MAIN
aE CALL FOR INSPECTION PRIOR TO COVER
*K*• 24 HOUR NOTICE REQUIREDr*aFP*•
■* 456--3604 iF a it it •itrr
ra:itittE*�riFrafwaEit pit THANK YOU iE**w**ilw**ifs*iE iF pit iEiF*i: