1992, 05-29 Permit: 92003822 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 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 oft 's permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cance •-provisio• .f anyst• • local law r-gulating 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
•:+::!;9s:;n:,.,!.,!..*!.,!?;9':;':4t:+t 7;!k a sL•97'!k •!b-!t?s:9t* PERMITINFORMATION I ) )�: ..... .. ... ..
14'6.20 L 161H AVE PARCEL = 26541 -3921
.,. VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — VERACREST (92E-534 )
322 NAME= ADAMS
r.: :••.:^.•:
/.. ZONE=
AREA= 00000000 {::;:•. F WIDTH= ... .....
v-,
WELLINGS= 1 WATER DIET =
OWNER= AMMEMA, LAURA PHONE=
ETREET= 14820 E 16TH AVE
Anni". = VERADALE WA 99037
CONTACT NAME= ARMSTRONG f••.
ONSTRUCTION PHONE NUMBER= 509 929
BUILDING SETBACKS : EHUNi = N/A N/A RIGHT= N/A REAR= NSA
CONTRACTOR= ARMSTRONG CONSTRUCTION PHONE= 509 928 0559
STREET= P 0 BOX 14282
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10 , 00
SEWER CONNECTION
40 ,. 00
.,,..y..!,..,,..,,. .!,..!?..!?. !f.:•.,•.;-.:l,s. !s. ,s. :}..,!e,!}.:}.!..P.,.,-.!}. !-. :i: RAiMENT ..:-t.:. .MAR'y .... !. :...
05/29/92 4016 50 , 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50, 00 50 ,00
50 , 00 50,00 „00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB AS—BUILT INFORMATION AvAII ARI AT THF: nfl1; 7'('
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM
ELEVATION ! !„' POSITION STUB PRIOR
EXCAVATION
TO LOCATE
......, :- ,t:,:. t.,....:-. CABLES ,
CALL BEFORE ,, DIG (456-8000)
SEWER STUBS ARE iU BE i •'IE