1992, 03-24 Permit: 92001456 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certifythat I haveexamined 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
PROJECT NUMBER= 92001456 ISSUED PERMIT DATE= 03/24%92 PAGE= %
PERMIT INF=ORMATION
SITE STREET= 14904 E: 21ST AVE
ADDRESS= VERADALE WA 99037
PARCEL.. 4== 2650-2101
-_ 101
PERMIT USE== SEWER CONNECTION -•• VE:RACREST 92E -i86
*** SEE NOTE ***
PLAT; = 00036 PLAT NAME= VERA CREST
BLOCK= 3 LOT= i ._ONE= UR -3.5 DIET4== F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 1 4 DWELLINGS= i WATER DIST =
OWNER= KRANSBERGER
STREET= 14904 E. 21ST AVE
ADDRESS== VE RADAL..E WA 99037
PHONE=
CONTACT NAME= GENE: F'ORI) CONSTRUCTION PHONE NUMBER= 509 924 61 82
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
**************************
SEWER PERMIT ******************************
CONTRACTOR= FORDS CONSTRUCTION PHONE= 509 924 6i82
STREET= 9713 E 4TH AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FEE Y
SEWER CONNECTION i 40.07
PAYMENT SUMMARY
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
03/24/92 1998 50,00
------------
TOTAL. DUE: .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50 00 .:00
50.00 5000 00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AE -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 PIPING, WATER LINES, ECT.
CAI -I_. BEFORE YOU DIG ( 456--BOOO )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
* * C;AL_L.. FOR INSPECTION PRIOR TO COVER
24 HOUR NOTICE REQUIRED456-3604
**********
?[ ik aF i( it ii it it �i ii ii r ii it yr a� �i i[ ri ii ri it * if 3k is it it it ii * THANK Y O i.l