1992, 01-14 Permit: 91006958 Sewer SPOKANE COUNTY DEPARTMENTOF 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 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=' 91006958 I% UED PERMIT DATE= 01 /14/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 15221 E 25TH AVE PARCEL4= 2651.1- 702
ADDmE%%= VERADALE WA 99037
PERMIT UJE= %EWER CONNECTION - VERACRE%T
*** SEE NOTE ***
PLATO= 001593 PLAT NAME= MCLAUGHLIN ADD
BLOCK= i LOT= 8 ZONE= UNK DI%T4=
AREA= 80000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDDWELLING%= i WA7ER DIT =
OWNER= PAC,E PHONE=
%TREET= i �22� E 25TH ��E
ADDRE%%= VERADALE WA 99037
CONTAC� NAME= KEVIN MARTIN
PHONE UMBER= 509 927 3�79
BUI| DI�� %ETGACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
PERMIT ******************************
CONTRACTOR= PRO DI� PHONE= 5O9 927 3979
�TREET= PO BOX 329
ADDRESS= VERADALE WA 99037
ITEM DE%CRIPrION CJUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%IN� FEE Y iO . 00
%EWER CONNEC�ION i 40 . 0O
******************************* PAYMENT %UMMARY ****************************
PAYMEN� Drfr.iTE RECEIPT4 Y0��T
Oi /� 4/92 229 50 . O�
------------
TOTAL DUE= . 00 TOTAL PAID= 50 . 00
�ERMIT TY�E FEE AMGUHT AM0]NT PAID AMOUNT
------ -------- ------------- ------------ ....................................................
PERMIT 5O . 00 50 . 00 . 00
------------- ------------ ---- --------
5O . 00
PRGCF%�ED BYJULIE ::::HATTO
PRINTED DOMITROVICH, ROBIN
SEWER STUB AS-BUILT INFORMATION I% AVAILABLF AT THE 230NTY
UTILITIE% DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF ::.-,EWER %TUB PRIOR TO ANY GTHFR
::::XCAVATION
7O LOCATE FURIED CABLE% �A% PIPIcWA�F� IEE , FCT ,
CAL| BEFORE YOU DI� ( 451 N ' i �
-8OOO)
SEWER STUBS ARE TO BE CHECKED PPIOP TO CONNECTION TO
; HAT THEY ARE CLEAR AND UNGBTRUCTED
^********* CALL FOR INSPECTION FRTOR TO COVER **********
********* 24
******************************** THAk« YOU *********************************