1991, 12-27 Permit: 91007433 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 authorizea kCounty to coeu with processing. In addition, I have reaand understandmo /wopsoT/ownsou/nswswTSowonos
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
PROJECT NUMBER= 91007433 ISSUED PERMIT DATE= 12/27/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 15004 E 16TH AVE PARCELO= 26541 -280i
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - VERACREST (91 -%52)
*** SEE NOTE ***
PLAT4= 001316 PLAT NAME= JANSON D.
BLOCK= i LOT= i ZONE= SFR DIST4= UNK
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= DWELLINGS= i WATER DIST =
OWNER= PHAKOO, DAVID R PHONE=
STREET= 15004 E i6TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= H & S CONSTRUCTION - LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----- - - -
PROCESSING FEE Y 10.8O
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
12/27/91 9683 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
---------- ---- ----- -
SEWER PERMIT 50.00 5O.00 .00
-------- -50.00 50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-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 (456-8000)
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AN %T D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************