1992, 05-19 Permit: 92003508 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P'ROLIE:.`...•T NUNBE:.F•'.'= 9200 5!18 ISSUED PERMIT DATE= 0509/92 PAGE= !y•i
PERMIT INFORMATION
SITE STREET= 14805 E 21ST AVE
ADDRESS= VE.RADALE WA 99037
PARCE:.L4= 2654 i - 09 i 7 PT N
PERMIT USE= SEWER CONNECTION -- VERACRE:ST (92S-497)
)
### SEE NOTE. ###
PLATO= 003933 PLAT NAME= KARMA ADDITION
BLOCK= i LOT= b ZONE= SFR DIST4= F:.
AREA= 00000000 F:'/A= F WIDTH= DEPTH= R/W=:
4 OF BLDGS== i 4 DWELLINGS== i WATER DIST ==
OWNER= WINEBARGE:R EUGENE: PHONE= 509 t727 i i'5
STREET= 14805 E 21ST AVE.
ADDRESS=:: VERADALE WA 99037
CONTACT NAME= EUGENE WINDEBARGER PHONE:. NUMBER=
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT=: NIA REAR= NIA
SEWER PERMIT
�r•h•#ii•ir•a••rririri!•�.•�:•ir•k•�?•#�!•�•itar##�E�•irir#####################»••iE�•#ii•�:�•ifie:i•�:�:
CONTRACTOR== OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y i 0.00
SEWER CONNECTION i .10400
PAYMENT SUMMARY
PAYMENT DATE RE::CE::IPT4 PAYMENT AMOUNT
0509/92 9/92 3 ;:2 i 50.00)
TOTAL DUE== .00 TOTAL_ PAID= 500C')
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 =
50.00 50.00 , oci
PROCESSED BY: DOMITROYICH, ROBIN
PRINTED BY: DOMITROVIGH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONFRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCALE" 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
#u; CALL_ FOR INSPECTION PRIOR TO COVER
##;t 24 HOUR NOTICE REQUIRED
iii # it• •'u.• •a )(• it• p. i{•456-3604 ....... .
+• i? 3i �: i[ �? 3? # H # it S? iF # # iE !b+ ii .r :r: #sh ik fi iE #:
THANK t YOU at h• )k 9t T: •R' th il"A.' �!• it• x• 91 ?!• •P.- •N: R iC 9: 9E k it # Jl-'fE-')t �?{' # it p• •P•'1�: 'h: