1992, 3-12 Permit: 92001484 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 correctand authorize Sokane 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 I 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 -
PROJECT NUMBER= 92001484 I%%UED PERMIT DATF= O3/i2/92 PAGE= Oi
*************************** PERMIT INFORMATION ************************ ***
SITE STREET= 14918 E 16TH AVE PARCEL4= 26541 -2802
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - VERACRE%T (92%-191 )
*** SEE NOTE ***
PLAT4= 003474 PLAT NAME= JAN ' S ADD
BLOCK= i LOT= 2 ZONE= UR-3 .5 DI%T4= �
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 5O
4 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= WOODS , DON PHONE=
STREET= 14918 E 16TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= NORMEX INC PHONE NUMBER= 509 926 9454
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= NORMEX INC PHONE= 509 926 9454
STREET= 16640 E FOOTHILLS RD
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING...FEE Y 10. 00
SEWER CONNECTION
****************** ************ PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O3/i2/92 i 5O . O0
TOTAL DUE=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
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIE D LOCATE AND CONFIRM THE
VAT AND POSITION OF %EWER %�UB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, 'A% PIPINGWATER L. ECT
CALL BEFORE YOU DIG (45 - �00O) ' ' ^
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 *********************************