1992, 04-10 Permit: 92001903 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON SS2GO
(509) 456-3675
1 certifyKatl havemarn Wed Ks permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
unuo,n,t unua thorte Spokane County to proceed with processing. In addition, / have read and understand the INSPECTION nsumnsmswTewo//:c
provision included herein and agreeto comply with same. All provisions of lawsand orcinames gwerning Mlype Wwok will be comphed wAh whwherWecled
hereinornot. I understand that the issuance of this permit/application and any subsequent inspection approvals or CertTcaQs of Occupancy shall notbeconMecto
gkeau&odytovthtewunW&ey"tbns&a"MakwlmA law reguAing 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= 9200i903 ISSUED PERMIT DATE= 0400/92 PAGE= 8i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 148i2 E 2i%T CT PARCELO= 2654i-2904
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — VERACRE%T (92%-260)
***
SEE NOTE ***
PLATO= 003933 PLAT NAME= KARMA ADDITION
BLOCK= i LOT= 4 ZONE= UR 3.5 DI%TO= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 0 DWELLINGS= iO WATER DIST =
OWNER= %HATTO, TERRY PHONE= 509 922 9070
STREET= i4812 E 2i%T CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= ii817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
O4/iO/92
TOTAL DUE=
RECEIPT� PAYMENT AMOUNT
2555 5O.00
------------
.00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50.0O .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES 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 PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (45-8OOO) ' ' ^
SEWER STUBS RE TO BE CHECKEDTO 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 *********************************