1992, 07-28 Permit: 92003631 Sewer174'
1
i SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE |
SP��KANE.WASH|NC;TQNS928V
(509)456-3675
compileI certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to /u permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQU1REMENTS/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
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.
APPLICATION
SIGNATURE OF
OWNER OR AGENT DATE
PROJECT NUMBER= 92003631 ISSUED PERMIT DA TF= O7/28/92 PACE= 01
**************************** PERMIT INFORMATION ****************************
:'. ITE %TREET= i47O7 E 22ND AVE PARCELO= 45261 . 1701
ADDRESS= VEREDALE WA 99037
PERMIT USE= SEWER CONNECTION - VERACRE%T (92%-504)
*** SEE NOTE ***
PL 4= 003091 PLAT NAME= CHURCH ADD
BLOCK= i LOT= i ZONE= UR-3^5 DI%TO= i4i FR/W 6O
A'`^ =A= F/A= F WIDTH= 121 DEPTH=� DWELLINGS=4 OF BLDG%= = i WATER DIST =
OWNER- THOMP%ON MICHAEL PHONE= 509 922 0248
%TR ET= 141. 1 ,:/ tE �2ND AVE
ADDRESS= VEREDALE WA 99037
CONTACT NAME= TOM STONE EXCAVATION PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 920 7710
STREET= PO BOX 14154
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-------------------- --------
----- Y
PROCESSING FEE
ON iOOO
SEWER E ^i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/28/92 R:3::::::31 5O.0O
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE__ FEE AMOUNT_ AMOUNT PAID AMOUNT OWING
------------- 0O
SEWER PERMIT 50.00 50 .00 �OO
------------- ------------50 .00 50 .0 5O .00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICW' ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPART�ENT ( 456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
A
ELEVATION AND POSITION OF SEWER STUB PRIOR TO M? OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG k45"-UVVO/
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 *********************************