1992, 06-09 Permit: 92004132 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BRDADWAY 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 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. Iunderstand thattheissuance ofthi rmit/application and any subsequent inspection approvals or Certificates of Occupancy shall not beconstrued to
give authority to violate or cancel the provision a state or local law regulating construction, oras a warranty of conformance with the provisions of any stateor local
laws regulating construction.
SIGNATURE OF APPLICATIONG_
OWNER OR AGENT DATE
PROJECT NiJrii:+ER= x'200413''2 'ISSUED PERMIT TATE- 0611109/9':' I" A G E --: 01
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PERM11 IFORMA•T.. �i�:##h:it�!it� it�H:PaarP:3eNkr:ii: n :f!P:P:
SITE STREET= i40iki E 25TH CT
ADDRESS VERAI)AL.E. WA 99037
P(4RC:E]...;r:::: 45263.0932PTN
PERMIT USI=== SEWER CONNECTION -- EVERGREEN ATH — (92E--585)
SEE: NOTE
PLATw= 005064 PLAT NAME= EVERGREEN POINT 6TH ADD
BLOCK'::--- i ; LOT== 8 ZONE=- UR --3.5 DIE'Tw== F:.
AREA- F•/A= F WIDTH= DEPTH= R W== '—;t";
4 OF BLDGS= w DWEI._L INGS= i WATER DIST == VERA
OWNER== W R S R ASSOCIATES INC PHONE= 509 922 0782
STREET= P O BOX 14084
ADDRESS- SPOKANE WA 99214
CONTACT NAME--:: W R S R ASSOC __ DI'L..L.. FH01NE:: NUMBE::R---:: 5,;9 9 2
T:UIL..D:sENG SETBACKS: FRONT== NA L..1=FT== Nr'; NA REA1--: N
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CONTRACTOR:= W R S & ASSOCIATES PHONE= 509 9?h' k".)782
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION (QUANTITY F•E:E.:: ()M0i_JNT
PROCESSING r.7 EE* Y .10> kl:;
SEWER CONNECTION i 40.00
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PAYMENT � U I f AR .1 ik •ll• 'P: �:• P: 'P: 'P• •R -7t• -M- �L' -�i 7 •P 1k A i� i1 •7F iC �A- it •N: •P: i!• -h -1': '1!•
PAYMENT DATE RECEII=Tw PAYMENT AI`SOi.JNT
06/09/92 43.19 5.00
TOTAL DUE.":: t10 TOTAL. PAID=: 50.00
PERMIT 'TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
________________.._------------ ---------------
SEWER—
PERMI T--- 50.,00 50.00 � 00
------------�0f
��
50,00 50.00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WE:NDEL, GLORIA
SE*WER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT 19 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, EC.T,
CALL BEFORE YOU DIG (456-8000)
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
;t at;ikx�ir�� 456—•3604
THANK Y O L.J