1992, 11-30 Permit: 92010447 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 Conty to proceed with nmcmmmo In addition, I have read and 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 rovisions of any state or local layy regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION -7/et..2 3ev, 5) 2_
OWNER OR AGENT .4.,./(74 DATE
PROJECT NUMBER= 92o1O447 ISSUED PERMIT DATE= ii /30/92 PAGE= 0'.
**************************** PERMIT INFORMATION ****************************
SITE STREET= 14122 E i3TH AVE PARCELO= 45233. i802
ADDRE%%= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - DRY LINE (92%-1193 )
***
SEE NOTE ***
PLATO= 005036 PLAT NAME= RAYMOND TULLY ADDITION
BLOCK= i LGT= F 9WZONE= UR-3^5 DI%TO= 137 R/W= 50
0 OF BLDG%= 4 DWELLING%= i WATER DIET = VERA
OWNER= MCDONALD , GARY D PHONE= 509 928 5793
STREET- 8423 E %uUTH RIVERWAY AVE
ADDRESS- SPOKANE WA 99212
CONTACT NAME= ROBERT A LONG PHONE NUMBER= 509 924 47R2
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************** ***** **
CONTRACTOR- ROBERT A LONG PHONE- 509 924 4782
%TREEE %AND:3 RD
ADDRESS= VALLEYFORD WA 99036
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- ------- ----------
PRGCE%%ING FEE Y iO.00
%EWER CONNECTION i 40.0O
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /30/92 727 50 . 00
------------
TGTAL DUE= . 00 TOTAL PAID= 5�. �0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ---- -- --- -------------
SEWER PERMIT 5O .0O 50.00 . 00
------------- ------------ -------------
5O.00 50 . 00 . 00
rl-ZOCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LGCATE BURIED CABLE% GA% PIPING , WATER LINES, ECT,
CALL BEFORE YOU DIG ( 45�-80OO )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOG%TRUCTED TG THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************