1992, 04-16 Permit: 92002112 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON SS260
(509) 456-3675
1 cerhythat! have "am Wed this permit/application, state that the information con/ ed in it and submittedov me or my agentm compile said permit/application is true
and correct, and authowe 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 ofthis permit/application and any subsequent inspection approvah or Certificates of Occupancy shall not be construed to
give authority to violate orcancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions ofany state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92002112 ISSUED PERMIT DATE= 04/16/92 PACE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i4920 E i7TH AVE
ADDRESS= VERADALE WA 99037
PARCELO= 2650-2809
PERMIT USE= SEWER CONNECTION — VERACRE%T (92S-303)
***
SEE NOTE ***
PLATO= 003474 PLAT NAME= JAN'S ADD
BLOCK= i LOT= 9 ZONE= SFR DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= %ABOA DICK PHONE= 509 924 2825
STREET- i4920 E MH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR- TLC CONSTRUCTION
STREET- 1306 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
-------------------------
PROCE%%ING FEE
SEWER CONNECTION
PHONE= 509 927 6760
QUANTITY FEE AMOUNT
-------- ----------
Y iO.QO
i 40.O�
******************************* PAYMENT SUMMARY ****************************
************************* THANK YOU *********************************
PAYMENT DATE
RECEIPT� PAYMENT AMOUNT
04/16/92
276O
5O.0 (.)
TOTAL DUE=
------------
.Go TOTAL PAID=
50.00
PERMIT TYPE FEE
AMOUNT AMOUNT PAID AMOUNT OWING
---------------
%EWER
-------------
PERMIT
------------ -------------
50.00 50.0O
.0O
-------------
------------ -------------
50.00 50.0.)
PROCESSED
BY: DOMITROVICH,
ROBIN
PRINTED
BY: DOMITROVICH,
ROBIN
SEWER STUB A%—BUILT
INFORMATION IS AVAILABLE
AT THE COUNTY
�
UT^LITIE% 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 (45"-8OOO)
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 *********************************