1992, 02-04 Permit: 91008473 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 correct, and authorize Sokane County to proceed with processing. In umn I have read u 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= 91008473 I%%UED PERMIT DATF= 02/04/92 PAGE= Oi
**************************** PERMIT INFORMATION ********* **** **** *******
SITE STREET= i4913 E 22ND AVE PARCEL4= 26541 -2109
ADDRE%%= VERADALE WA 99037
PERMIT U%E= %EWER CONNECTION — VERACRE%T (9i %—i27>
*** %EE NOTE ***
PLAT4= 003136 PLAT NAME= VERA CRE%T
BLOCK= 3 LOT= 9 ZONE= (}R-3.5 DI%TO=
AREA= F/A= F WIDTH= 122 DEPTH= i4i R/W= 50
4 OF BLDG%= 4 DWELLING%= i WATER DIET = VERA
OWNER= IRON , JOHN PHONE=
STREET= i49i � E 22ND AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= ALWAYS ACTIVE — RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
************************* *** %EWER PERMIT ******************************
CONTRACTOR= ALWAYE ACTIVE PHONE= 5O9 922 85OO
%TREET= PO BOX 141562
ADDRE%%= %POKANE WA 99214
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 , 00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ************************* *
PAYMENT DATE RECEIPTO PAYMENT AT
02/04/92 700 50 . c)0
TOTAL DUE=DUE= .00 TOTAL. PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
S.:EWER PERMIT PERMIT 50. 00 50.00 . 00
------------- ------------
50,00 50 , 00 5O . 0O .00
PRGCEED DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
%EWER
STUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND PO%ITION OF %EWE� %TU3 P�IOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%1 �A% PIPI�� WATER LINE%' ECT
' ^
CALL BEFORE YOU DIG f„ 456-8000)
%EWER ETUDE ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNGB%TRUCTED TO THE %EWER MAIN
*** **** CALL FOR "INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
** ** ************* *********** THANK YOU *********************************