1992, 07-28 Permit: 92004223 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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 true
and correctand authorize Sokane Contto proceed with processing. In umn I have read u 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 OnAGENT DATE
PROJECT NUMBER= 92004223 I%%UED PERMIT DATE= 07/28/ Co
**************************** PERMIT INFORMATION *************************^**
SITE STREET= 14510 E 18TH AVE PARCE10= 45262. 9041
ADDREJ%= VERADALE WA 99037
PERMIT U%E= %EWER CONNECTION - WOLFCRE%T (92%-594 )
***
SEE NOTE ***
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= %FR DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i .4 DWELLINGS= i WATER DIET =
OWNER= HALLETT, SENORA PHONE=
%TREET= 14510 E 1ST E
DDR:E%E ERADALE: WA 99037
CONTACT NAME= ALWAYS ACTIVE PHONE NUMBER= 509 922 8500
BUILDING %ETBACKJ : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER 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
! CONNECTION 4O ^OO
******************************* pAYMENT %UMMARy *****************x*****«*«:«
PAYMENT DATE RECEIPTO PAYMENT
07/28/92 R4223 50. 00
TOTAL DUE= .00 TOTAL PAID= -------��-��
PERMIT TYPE
__ FEE AMOUNT_ AMOUNT PAID AMOUNT OWING
%EWER PERMIT 50.00 58 OO
^ ^ . 00
------------- ------------
50.00 50.00 5O.00 . 00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPINGWATER LI�E% �C�
CALL BEFORE YOU DIG ( 456-8000) ' '
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN.'.7UR:::
THAT THEY ARE CLEAR AND UNOB%TRUCTE0 TO THE SEWER MATu
********* CALL FOR IN%PECTIGN PRIOR TO COVER **********
********* 456-3604 **** *****
H************ *************** * THANK YDU **************«****x*************