1992, 07-02 Permit: 92004940 Sewer SPOKANECOUNT, DEPARTMENT OF BUILDINGS
1R". 13303 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 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 OR AGENT DATE
P t•;t.j:.11::.t.. ! NUMBER= `,' .:!•!•.1::,„'::,1,:? ±.,:.... ..?l::D PERMIT DATE=
i..!T .. .. ..... . 2 PA0E=PA....... 01
{ii: : (ii.H: d ; iP :H FA ijPERMIT I `it :'AilS1jiti } * i**)li" ?) :* i '**Pi
;..�i.
SITE STREET= 14820 t::. 15TH (•'i'u i... PARCELO= .._....... .. ''• ... ..
ADDRESE= VERADALE WA 99037
PERMIT t::.'::.:::: SEWER CONNECTION .... VERACREET (92E-674 )
..'H:....7k
'Pi 1!i Pr :':i.':.�:. NOTE 7tr
PLATO=
002751
5., .i ti I NAME= 'v,1::.P`;f:
AREA— 00000000 ;• ,' t_5:::: 1.. WIDTH= i.?i:..PTi"i= .
0r..
OF :t i...2 J is::::::: ! •„• !!tAi t::.!...i....i.i'1 t s::•::: WATER DIET ....
!,j i,t I'`•.i::.!'{::::: 2;.i.#_i t.:,P:,f.., PHONE= ... 9 ;'....... ... ..
' T:;.(:.E..i.:... 14820 i^ 15TH f••t'n'i::.
ADDREES= VERADALE WA 99037
CONTACT NAME= DONNA !.:t,,,_ii•+:t..:I'•ifi!.{``?E PHONE E iV{ii',Bt:..R
09 924 5425
BUILDING .`:t^ t i”( t:.S FRONT= NA LEFT= `! RIGHT= NA REAR= :••jf.:!.
******:****************** ***Ii, : I : PERMIT P ' . I j *. r..n . i i )f:) ) ) K A 4 ' r `: i!r '. .. :.:... ..
CONTRACTOR= t..:t.:UR{.:Hf"1.i.NE CONETRUCTION PHONE= 509 924 5405
STREET= 16402 E . , , . .
AY
t”t+?j.?P'•.t'.::-,.'::::. kjC:.1`•AS?Ai...i:: WA 99037
ITEM DI::- I:i'':I P i ±.'«J N QUANTITY P'i::.i-. AMOUNT
---
PROCESSING FEE:1:. ;f: 10.00
SEWER ......NINi::.1«:..I IONi 40,00
} J :o unx n1 } 1 * l } } } } } u"n"eS i!s tisU "! PAYMENT : ' 'A: i!: tt ii1 S i ! ii! 7:I::t: 1}iE'i!"::!f:1'!•::'!!':is•,:,,�:,��r�t, :, :
;
PAYMENT 'mil*: Rt.........i._"' . :i;: PAYMENT AMOUNT
,
07/02/92 5137 50,00
«} TOTAL 3f•'t.Lj.1:::: ::;!;!.:0!;i
PERmil fypE i..%:.R:. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50, 00 50,00 .00
•
50,00 50.00 ,00
t'r'.!.#t.:{::.::r,+.E#} BY : :.jUi...�.,::. ::at';A { I i,
PRINTED
._+;;:.i.s j i_..t? +:f'. • :.!I.J i....i.;.:. :«'i-'i A T T?„i
SEWER .:. t t.j j:{ AS—BUILT INFORMATION .i.,.. AVAILABLE COUNTY
U :.{...1. : I::.,`:- DEPARTMENT !, l•%�:. ... ...6O4)
CONTRACTOR OR APPLICANT I c FIELD LOCATE i ; A uD i_:i jNi' , :lM tr
ELEVATION :•�:i''3 j.% {'t.j::•.i. { �.t.�I"� ..�: y SEWER STUB PRIOR TO f'`i i'3 i• .. .
XCAVAT
ON
TO,
it . Li : R
iE = o i '
. io WATER . . .. . ECT .
l .iREFOR Y _ Li D 1. .. ! % ?: .
.at`• ETUBE ARE TO B1„ CHECKED
...I i; ..'r:LLi j';.,i_..' ..i ij .IIVNE::3.. .'+.`j INSURE
! ,..�ATHEYARE CLEAR --'.N isN li. t..1i• '! , .. :t:.tt^1•'.` MAIN
FOR INEPECTION PRIOR TO COVER "-:•A:'1.}. '}!:J.'A:"i. :!
ii:** ***** 24, !}; NOTICE
456-3604
. ., a
, REQUIREDEK i %
y
:!!: j :^ ) ; ;i:) :r : . ; .l.fi ) }!:*.
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........:...!!..,,':!t'Jt 7k:!!:• i,....,..,!!•d! ,� } .e.,! 1. J.} THANK .1;..};-:r.'•)!.....:.......,.....:. ....Jt}. }.............1. .. 7. .. ..