1992, 05-15 Permit: 92002048 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vom//mat/^u,00xummoom/opmm/vunnnvanon.atvtomvnhomm,muunnoontumoomnunuuu»mumuuvmoonn'agentmvomp.wnumn rmit/application is true
and correct, andauthorize Sx County to proceed with processing. In addition, I have read and understandmo 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 0nAGENT DATE
!,POJECT NUMBER= 9200204S I%%UED PERMIT DATE- 0 / 1 '::::/ 2 EAGF=
**************************** PERMIT INFOpMATION
%ITE %TREET= 15004 E 22ND AVE PARCEL4= 2654� -2�O�
ADDRE%J= VERADALE WA 99037
PERMIT U%E= .:::EWER CONNECTION - VERACRE%T (92%-291 >
***
EEE NOTE ***
PLATT,:- 003136 PLAT NAME= VERA CRE%T
BLOCK= 4 LOT= 3000 ZONE= UR-3.5 DI%T4-=
AREA= F/A= F
4 OF Di WATER DIET =
OWNER= WOELKE WILLIAM PHONE=
%TREET= 15004 E 22ND AVE
ADDRE% = VERADALE WA 99037
CONTACT NAME= ALWAY% ACTIVE PHONE NUMBER= 709 922
BUILDIW:, SETBACKS : FRONT= N/n LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 f22 85��
%TREET= PO BOX I4-i562
ADDRESS= SPOKANE WA 99214
ITEM DE%CRIPTION QUANTITY FEE A��|!�T
------------------------- -------- ----------
FEE
SEWER CONNECTION
******************************* PAYMENT %UMMARY ***********************»****
PAYMENT DATE RECEIPT:!:, PAYMENT A�U(|�T
04/21 /92 29i3 5O . O�
04/21 / 2 29i3 50 . 00-
04/2 /92 29i7 50 .00
04/2i /92 2917
05/15/92 50 , 00
3635 5O . O0
------------
TGTAL DUE= . 00 TOTAL PAID= 5O . 0O
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
--------------- ------------- ------------ -------------
%EWER PERMIT 50 .00 50 . 00 . 00
------------- ------------ --- ---------'
50. 00 50 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THF COU»TY
UTILITIEJ DEPARTMENT ( 456-36O4 )
CGNT�ACTO� G� �PPLICANT I� TG FIELD LGCATE A�� C3�F��M THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTkFR
EXCAVATION
TO LOCATE BURIED CABLEg �A% PIPIN� , WATER | IES , ECT .
CALL BEFORE YOV 1)T1 ( �51-8OOO )
%EWE� %TU�J ARE TO BE CHECKED PRIOR TG CONNFCTTCw �: I��V�F
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SFWFR f./:ATN
INEPECTION PRIOR TO COVEP ******** *
********* 24 REQU7RE7 **********
«******** 456-3604 **********