1992, 07-24 Permit: 91007026 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 correctand athorize Sx County to proceed with processing. In addition, I have reaand understandme /wapsoTmwnsou/nsMsmTS/wor/os
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,ores a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF 4d26A- t- APPLICATION i;e7____z 5>z_
OWNER OR AGENT DATE
PROJECT NUMBER= 9i007026 I%%UED PERMIT TF= O7/24/92 PA|�E= Oi
**************************** PERMIT INFORMATION ********************«*******
SITE %TREET= 14809 E 22ND AVE PARCEL4= 45261 . 1704
ADDRESS= VERADALE WA 99037
PERMIT USE= %EWER CONNECTION - VERACRE%T
***
EEE NOTE ***
PLAT4= 003091 PLAT NAME= CHURCH ADD
BLOCK= LOT= ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= DEPTH=
4 OF BLDG%= 4 DWELLINGS= i WATER DIET =
OWNER= GANT DONALD PHONE= 5O9 924 i75�
STREET= 14809 E 22ND AVE
ADDRE%%= VERADALE WA 99037
CONTACT NAME= STAN ANDERTON PHONE NUMBER= 509 927 4'':94
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
************************ **** %EWER PERMIT ************x»:xxxxx :xx: xxx*xx
CGNTRACT R= A PLU% CON%TRUCTION PHONE= 509 T22 4594
%TREET= 115 % T%CHIRLEY RD
ADDRE%%= SPOKANE WA 992i6
ITEM DE%CRIPTIGN QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%IN� FEE Y iO . 00
WER CONON i 4O ^ OO
******** *** ****************** pAYMENT %UMMARY **************»« ««»»:»« : «:: »
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/24/92 5814 50 . 0
TOTAL DUE=DUE= .00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 . 00
..................-------- ------------50, 00 50 , 00 5O . 0O .00
P�OCE%%ED BY : JULIE %HATTO
PRINTED BY : DOMITROVICH , ROBIN
%E�ER
STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM T*[
ELEVATION AND PO%ITION OF %EWER ETUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINF% , ECT ,
CALL BEFORE YOU DIG ( 456-8000)
SEWER ETUDE ARE TO BE CHECKED PRIOR TO CGNNECTION TG JN�U�E
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER *******« *
********* 24 HOUR NOTICE R[OUIR[D *» ****« :
********* 456-3604 ***** * «
YOU **«********«*«*****«***«»**«««**»