HomeMy WebLinkAbout1992, 05-15 Permit: 92002699 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 13030�����U�������UE
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 pmmvupv//vat/on/mmo
and correct, and authorize Spokane County to u withpmnmmmo In additionI have reaand 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= 92OO2699 %%UED PERM��� DATE'=
** ************************* PERMIT INFORMATION ****************************
SITE %-iREET= i5OO5 E 22ND AVE PARCEL4= 2654 -2U
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — VERACRE%T ( �2%-373 )
*** SEE NOTE ***
PLAT ,,: 003136 PLAT NAME= VERA CRE T
BLOfo*:K= 3OO� LOT= 8�OO ZONE= UR-3 . 5 DI�T�= F
4 OF 4 DWELLIN�%= i WATER DIST =
OWNER= DAGON , BILL PHONE= 509 92S 653�
STREET= 15005 E 22ND AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= ALWAYS ACTIVE — RON %LOAN PHONE NUMBER=
BUILDINC N/A LEFT= N/A RJi„HT= N/A REAP= H/�
***************************** %EWER PERMIT ******************»****** *****
CONTRACTOR= ALWAY% ACTIVE PHGHE= 5O9 922 �3O�
%TREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DE%CIPTION �UANTITY FEE A�O|)�T
------------------------- -------- ----------
PROCE%%IN ; FEE Y 10 . 1.)0
SEWER CONNECTION
******************************* PA; ENT
PAYMENT DATE RECEIPT4 PAYmENT
05/15/92 3635
------------
TGTAL TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWINC
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 .00 50 .00
------------- ------------
50, 00
PROCESEED
PRGCE%%ED BY ' DOMITROVICH' ROBIN
PEINTED BY : DOMITROVICH , ROBIN
�E�ER %T�B ��—BUILT INFGRMATION E AT THF CC� |wTY
UTILITIES DEPARTMENT ( 456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM �a�
ELEVATION AND POITION CF SEWER %TUD PRIOR TO ANY OTPFP
EXCAVATION
T� LOCATE BURIED CABLE% �A% PIPIN� , WATE� LINE% ' FC� .
CALL BEFORE ( 451-8OOO )
TO PRIOR TO CGNNECTIGN �O [��! i��
THEY ARE CLEAR AND UNOBSTRUCTED TO 'THE %EWF� m�IK
*** * ** CALL FOR lAPECTlON PRIOR TO
4�6-TS:604 *****»****
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 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== 92002699 APPLICATION DATE== 04/21 /92 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIES WIL _. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15005 E 22ND AVE PARCEL0= 26541 -2100
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION -• VERACREST (92S-373)
*** SEE NOTE ***
PLATO= 003136 PLAT NAME= VERA CREST
BLOCK== 3000 LOT= 8000 ZONE- UR-3.5 DIST:= F:.
AREA= F/A= F WIDTH= DEPTH= R/W= 50
w OF BL»DGS= i 0 DWELLINGS== i WATER DIST =
OWNER= DAGON, BILL PHONE= 509 928 6550
STREET= 15005 E 22ND AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= ALWAYS ACTIVE •- RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 11»»-- --- 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-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.
CALL BEFORE YOU DIG (450-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************