1992, 04-03 Permit: 92002135 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 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 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 7' l
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ADDRESS= VERADALE WA 99037
PERMIT USE= +:: ::.W:v.R CONNECTION
PLAT:11:= 003136 PLAT NAME= VERA CREST
LOT= 7 ZONE= UR 3,5 DIST4
.
OWNER= BROWERE, RICHARD PHONE=
STREET= 14319 E 20TH AVE
ADDRESS= VERADALE WA 99037
BUILDING SETBACKS : FRONT= NA LEFi :, N(::i RIGHT= NA REAR= NA
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CUN'iNACioR= A FLUE CONSTRUCTION pHoNE:, K'309 92-2
STREET= 115 E TECHIRLEY RD
!.7PnVANF WA 99016
ITEM:. F...!� .l:F...:.i t.:R :3:•.
'. .1.t.J'.1 QUANTITY ........ . .... .... .
EEWER CONNECTION 40, 00
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TOTAL DUE= ,00 TOTAL PAID= ,00
1.:i..y::j'•I ; ;..'::. . 1"1 U U I:.j , AMOUNT . ..i.I.1.? AMOUNT OWING
SEWER PERMIT 50, 00
•
50 ,00 50, 00 ,00
PROCESSED BY jOHN LARSON
PRINTED. .::.... ... . : ... .... .. . ....A1.... _sfN
EEWEP AE—BUILT INFORMATION TE AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (. 45A—..../104.)
CONTRACTOR OR APPLICANT IS TO FIELD LOcAiL UUNhIM (HE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY CTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , FCT ,
CALL BEFORE YOU DIG ( 456-8000 )
SEWER STUBS ,
TO
BE CHECKED PRIOR TO CONNECTION
THAT THEY ARE CLEAR TRUCTED TO THE SEWER MAIN
:":{": INSPECTION� ::1;::'1 ..!j..1j..!1..: .ij.:ij..1}.::
CALL
K:k*k.)ifs:kK 24 HOUR NOTICE REQUIRED
-THANK 'y0u
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