1992, 07-28 Permit: 92003532 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/ovrt//vmut/xuvoo,um.noumwpermmunonoauon.otommatmemm,muuonoo"tumoumuonunvummouuvmoonnvagnntmmmnnooamn rmit/application is true
and correctand authorie Srvun�mu with processing. Inum / have read and understand /wopsoT/omREQUIREMENTS/NOTICE
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provisions included herein and agree to com / th same.All provisions of laws and ordinances governing this typof work willvo 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= 92003532 ISSUED PERMIT DATE= 07/28/92 PAGE= Oi
**************************** PERMIT INFORMATION **************** ***********
SITE STREET= 13702 E 20TH AVE PARCELO= 45271 . 1456
ADDRESS= VERADALE WA 99037
PERMIT U%E= SEWER CONNECTION - WOLFCRE%T (92%-487 )
*** SEE NOTE ***
PLATO= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= AG%UB DI%TO=
AREA= 00014000 F/A= F WIDTH= 100 DEPTH= 140 R/W=
0 OF BLDG%= 0 DWELLINGS= iO WATER DIET =
OWNER= KLEMMER, DALE H PHONE=
%TREET= i3702 E 20TH AVE
ADDRE%%= VERADALE WA 99037
CONTACT NAME= TOM %TONE EXCAVATING PHONE NUMBER= 509 928 7710
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
STREET- PO BOX i4154
ADDRESS= %POKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -
PROCESSING FEE Y 10,00
%EWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/28/92 R3532 50.00
TOTAL DUE-DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50.00 50 .00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER %TUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4)
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 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 *********************************