1992, 07-28 Permit: 92002601 SewerSPOKANE 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 authorizea m, 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= 9200260i
ISSUED PERMIT DATE= 07/28/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 14827 E 24TH AVE_
ADD RE%%� VERADALE WA 99O3
PERMIT USE= SEWER CONNECTION — VERACRE%T (92%-356)
*** %EE NOTE ***
PARCEL4= 45261.1632
';T:1= 002748 PLAT NAME= VERA
209 T= LONE= AGRI DI%TO=
F/A= F WIDTH= Y\EPTH=
0 MARLING%= WATER DIET =
OWNER= ANDER%ON DENNI%
STREET= 14827 E _4TH AVE
ADT RE%%= VERADALE WA 99037
CONTACT NAME= AN 3N EXCAVATION
'_DING SETBACKS: FRO = N/A LEFT= N/A RIGHT= N/A REAR= N/A
PHONE=
R/W=
PHONE NUMBER= 5O9 924 5537
� �� ���� ��.�
***************************** %EWER PERMIT ******************************
ITEM DESCRIPTION
PROCFEE
SE WER CONNECTION
PHONE= 509 924 553(
QUANTITY FEE AMOUNT
-------- ----------
Y
10.00
i
40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/28/92 R2601 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50.00 50.00 5O.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH' ROBIN
UT]
CONT
ELEV
EXCA
ITI
A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
}EPARTMENl (456-3604)
OR OR APPLICANT is TO FIELD LOCATE AND CONFIRM THE
ION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
ATION
TO LOCBURIED CAB
CALL BEFORE YOU DIG
%EWER %TU
THAT THEY
*********
*********
********
GAS PIPING, WATER LINES, ECT.
8000)
ARE TO
1:: 1i::. :F :i:c:t
ARE CLEAR AND UNOBSTRUCTED T
CALL FOR INSPECTION PRIOR TO
24 HOUR NOTICE REQUIRED
456-3604
CON ECTION TO INSURE
THE , MAIN
COVER **********
**********
**********
******************************** THANK YOU *********************************