1992, 10-05 Permit: 92008420 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 permit/applicationis true
and correct, and authorize Spokane County to proceed with processing. In addition, I have reaand understandmo /wupeoTmwneuu/nswswruwoT/cs
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 °,,"C°..o.` /��� =� "�*�
ovvwsnonAGENT DATE
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PROJECT NUMBER= 92O08420 I%%UED PERMIT DATE= 10/05/92 PAGE= 01
*** ****** ******* ********* PERMIT INFORMATION ***************** **********
SITE %TREET= 14921 E 15TH AVE PARCEL4= 45234 . 1418
ADDRESS= VERADALE WA 99037
PERMIT USE= %EWER CONNECTION - ULID 9103 (92%-995)
*** SEE NOTE ***
PLAT4= 000368 PLAT NAME= CHERRY A RE% %UB
BLOCK= 4 LOT= 18 ZONE= AGRI DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLING%= i WATER DIET =
OWNER= %KAUFEL PHONE=
%TREET= 14921 E 15TH AVE
ADDRE%%= VERADALE WA 99037
CONTACT NAME= STAN ANDERTON PHONE NUMBER= 509 922 4394
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
************** ************ SEWER PERMIT ******************************
CONTRACTOR= A PLUS CONSTRUCTION PHONE= 509 922 4594
STREET= 115 % T%CHIRLEY RD
ADDRE%%= %POKANE WA 992i6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- --------
PROCE%%ING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYmENT AMOUNT
10/05/92 853i 50.00
10/05/92 8531 50.00-
10/05/92 8537 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------ ------------50,00 50,00 5O.00 .00
PROCE%%ED BY � JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER_STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PG%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG ( 456-8000)
%EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 ******** *
***** ************* ************ THANK YOU *********************************