1992, 06-18 Permit: 92004490 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 athorize Sku County to voou with processing. 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 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 oRAGENT DATE
PROJECT NUMBER= HERMIT DATE= O6/i8/92 PA�F= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 14925 E 14TH AVE PARCEL�= 45234 . i2i �
ADDRE%%= VERADALE WA 99037
PERMITAEE- %EWER CONNECTIGN - VERACRE%T ( 92%-633 )
*** %EE NOTE ***
PLATO= 003761 PLAT NAME= %P-214
BLOCK= 12 LOT= 19 ZONE= %FR
AREA= F/A= F WIDTH= 97 DEPTH= 342 R/W= 50
4 OF BLDO%= i 0 DWELLING%= i WATER DIET =
O�NER= �OC�RI DON & NANCY PHONE= 509 535 7778
STREET= 14625 E 6TH AVE
ADDRE%%= %POKANE WA 99037
CONTACT NAME= H & % CON%TRUCTION PHONE NUMBER= 509 926 8964
BUILDING %ETBACK% ' FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT *************************** *
CONTRACTOR= H & % CON%TRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= %POKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMGUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10. D0
%EWER CONNECTION . 00
******************************* pAYMENT %UMMARY ******************** ******
PAYMENT DATF RECEIPT4 PAYMENT AMOUNT
06/18/92 4646 50 .00
TOTAL DUE-DUE= . 00 TOTAL PAID= 50 . �O
PERMIT TYPE FEE AM OU AMOUNT PAID AMOUNT OWTNG
--------------- ------------- ------------
EEWER PERMIT PERMIT 50 . 00 50 .00 . 00
------------- ------------
50 ,. 00 50. 00 5O. O0 . 00
PROCE%%ED BY : DGMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER %TUB UILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TG LOCATE BURIED CA�LE% �A� PIPIN� , WATER iINE%, ECT .
CALL BEFORE YOU DIC; ( 451-8OOO )
%EWER %TUB% ARE CONNECTIGN TO INJURE
THAT THEY ARE CLEAR AND UNGB%TRUCTED TO THE %EWER MAIN
********* CALL FOR IH%PECTION PRIOR Tr:J COYER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **** ****
******************************** THANK YGij *********************************