1992, 07-17 Permit: 92005426 SewerSPOKANE 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 of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel tom. revisions 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= 92005426
ISSUED PERMIT DATE= 07/17/92 PAGE= 01
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SITE STREET= 14821 i::: 17TH AVE Ps?RC.:F P:-:: 45261.2607
ADDRESS= VERADALE- WA 99037
PERMIT USE= SEWER CONNECTION .... VERACREST (92S-715)
PLATO= 003220 PLAT NAME= SOUTH ADAMS ADD
BLOCK=1 LOT=f ZONE= SFR I1:1.,±i1:x-:: F.
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DWELLINGS- INGS:::: 'i I4ATI:"Fi DIET =
i::4NER:::: SAVAGE, JIri PHONE=
STREET= 14821 E 17TH AVEC
,; EF ADAF..E WA 99037
CONTACT V 'I:ARMSTRONG ( i N - i ( I O VPHONE NUMBER= 509 928 r5.%
BUILDING IivCr 'E::'i"I:iAi:i' ': FRONT= N/A LEFT= »» tJ:'r'? RIGHT= N/A REAR= N/A
•y .... * * . .. ...... .... .
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CONTRACTOR= ARMSTRONG CONSTRUCTION
STREET= C' 0 BOX 14282
ADDRESS= ,`,•;F'r1E{ANi-. WA 99214
ITEM
t'..•?'i•t-
:I:•TEM I:DE::,` C;RIPTI:ON
PROCESSING I'tVC; FEE:
SEWER CONNECTION
ION,(
PHONE= = 5w / 920 5 9
QUANTITY FEE AMOUNT
`r.
10,00
40,00
......... . ................ s •. ,:..N.... :•„ .. .......... .. .
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PAYMENT DATE Ri:::CE::1PTO PAYMENT AMOUNT
07/17/92 5616 50.:00
TOTAL DUE: ,00 TOTAL PAID= 50,00
PERMIT TYPE FEF AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50. 00 0 50.00 :.00
50,00 50.00 .00
PROCESSED BY: l)i:iti:F•TRi::;VICH , ROBIN
PRINTED BY: :iiia iT f F' isiVI:C:H ROBIN
SEWER :`.:'Ti..B AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPAi:TMi=.NT (456-3604)
CONTRACTOR OR APPLICANT Is TO FIELD LOCATE AND C::isiNF'I:Ri:! THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR: TO ANY OTHER
EXCAVATION
ION
TO i...00::ATE:: BURIED C::AB1...E:S; GASPIPING, WATER LINES, ECT,
CALLBEFORE YOU DIG (456••-C7(:00)
SEWER STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO :INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO TFit-. NSEWER E:F: MAINN
•x• �: •n •t+� •r.• �,t• •P: •;1• �+: CALL I.. (:i F•{: INSPECTION _ PRIOR �t' C3 COVER � .M. ;;. ;,.. ;,; .h..r: �b:..k..P: ;+:
•r:'i+:•i~it•ik3t••'m :4 HOUR NOTICE i+:•x•a+:p:Rii,tPfi:+t•
t**AflLxi ; 456-3604 .;t..ii• .;f• je..'p'..1l P: 'P: 'P' H:
................................................................
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