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1992, 07-28 Permit: 92003515 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS VV.1303BROADWAY AVENUE SPOKANE, WASHINGTON 93260 (509)45G-3075 1 certify that I have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is and correct, and authorize Spokane County to proceed with processing. In addition, / 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 thatthe issuance ofthis permit/application and any subsequent inspection approvals orCertificates of Occupancyshall not be construed to give authority to violate orcancel the provisions of any state or local lawregulating construction, or as a warranty of conformance with the provisions ofanystateorlocal laws regulating construction. SIGNATURE OF APPLICATION OWNER onAGENT DATE PROJECT N�MBER= 920035i5 I%%UED PERMIT DATE= O7/28/92 **************************** PERMIT INFORMATION **************************** %ITE %TREET= i49O5 E 2i%T AVE PARCEL�= 4526i.2�23 ADDRE%%= VERADALE WA 99O37 PERMIT U%E= %EWER CONNECTION — VERACRE%T (92%-477) CONVRT PLAT NAME= CONV 1 ED CNTY DAT B OCK= LOT= ZONE= AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= � OF BLDCy%= � DWELLI��%= iO WATER DI%T = OWNER= �ALVIN, DENI� PHONE= %TREET= i49O5 E 21%T AVE ADDRE%%= VERADALE WA 99O37 CONTACT —AMC:ALWAY% ACTIVE — RON %LOAN PHONE NUMBER= 5O9 922 85OO BUILAC) IN� %ETBACK%� FRONT= N/A LEFA REAR= N/A ***************************** %EWER PERMIT ****************************** CONT TOR= ALWAY ACTI PHONE= 5O9 922 85O� %TREET= PO BOX 141562 ADDRE%%= %POKANE WA 992i4 ITEM DE%CRIPTION QUANTITY FEE AMOUNT —.... .... .... .... .... ... .... .... ... .... .... .... .... .... .... .... .... .... .... .... .... .... .... — -------- .... —.... ... --... .... .... .... PROCIE* %%INFEE Y iO.00 %EWER CONNECTION i 4O.00 ******************************* PAYMENT %UMMARY **************************** PAYMENT DATE RECEIPT� PAYMENT AMOUNT O7/28/92 R35i5 5O.00 ............................................. DUE= .O0 TOTAL PAID= 5O.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AHOUNT OWIN� --------------- %EWER .... —.... .... — PERMIT .... .... .... —.... .... -- ------------ 5O.O� .... .... .... .... .... .... .... .... ... .... .... .... .... 50.0� .00 .... .... —... .... .... .... .... .... ... .... ... ... ------------ 5�.00 ... .... ... .... .... .... .... .... .... ... ... .... .... 50.00 PROCE%%ED BJOMIOVICH, ROBIN �RINTED BYOMITROVICH, ROBIN %EWER %TUB A%—BUILT INFORMATIO� I% A�AILABLE AT THE COUNTY UTILITIE% DEPARTMENT (456-36O4) O TRACT R OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE ELEVATION AND 1. k. OF %EWER %TUB P�IOR TO ANY O1 11ER EXCAVATION TO LOCATE BURIED L.- (..'11'. �A% PIPING, WATER LINE%, ECT. CALL BEFORE YOU DIly (45�-8OOO) ...,Al LK %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TOIN%URE THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE %EWER MAIN ********* CALL FOR IN%PECTION PRIOR TO COVER ********** ********* 24 HOUR OTICE REQUIRED ********** ********* 456-36O4 ********** **** Al, *************************** THANK YOU *********************************