1992, 07-28 Permit: 92002600 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agentto compile said permit/application is true
and correctand athorize Sx 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 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= 92002600
**************************** PERMIT INFORMATION
�ITE %TRE�T= i4821 E 24TH AVE
VERADALE WA 99037
PERMIT U%E= %EWER CO�NECTIGN — VERAC�E�T (92%-355}
NO�E ***
002748
PLAT NAME- VERA
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ZONE- ^R, -
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DEPTH -
00001 F/A= F WIDTH
DWELLINO= i WATER =
DELMER
24TH AVE
WA 9907
CONTACT NAME= ANDER%ON% EXCAVATING
BUILD�N� %ETBACK�FRONT= N/A LEFT= N/A
CONTRACTOR= ANDER-- N EXCAVATION
%TREET PO. BOX 369
ADDRE%%= GTI% ORCHARD% WA 99027
ITEM DE%CRIPTION
FROCE%%ING FEE
%EWE� CONNECTION
*********************
i0.00
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************************** PAYMENT %UMMAY
PAYMENT DATE
TOTAL DUE=
PERMIT TYPE
---------------
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%EWE� %TUB� A�E TO BE C��CK�D PRIOR TO CONNECTION
THAT THEY ARE CLEAR AND UNO3%TRUCTETHE
********* CALL FOR IN%PECTIG. PRIOR TO
********« 24 HOUR NOTICE R[QUI'R[D **«***»»«»
********* 456-3604 *****«»*»*
x***x***************************
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