1992, 10-08 Permit: 92008609 Sewer SPOKANE COUNTY DEPAR-FMENT 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 authorizea kCounty 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 OnAGENT DATE
PROJECT NUMBER= 92008609 ISSUED PERMIT DATE= 10/08/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 148i6 E 16TH AVE PARCEL4= 45261 .2605
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION / VERACREST / 92-1024
*** SEE NOTE ***
PLAT4= 003220 PLAT NAME= SOUTH ADAMS ADD
BLOCK= LOT= ZONE= UR 3.5 DI%T4= F
AREA= 08000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= RAGLAND, GEORGE PHONE= 509 927 0128
STREET= 14816 E 16TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= GEORGE / DONNA RAGLAND PHONE NUMBER= 509 927 0128
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------- -------- -------- ----------
PROCES%ING FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/08/92 8731 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
_____________
SEWER PERMIT 50.00 50.00 .00
------------- ------------ _____________
50.00 50.00 .00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES� GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (450-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
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