1992, 05-15 Permit: 92002132 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303BROADWAY AVENUE
SPOKANE, WASHINGTON SS360
(509)45G -3G75
1 cerliQ ON have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
u correct, and authorize Spokane County to ou with processing. In addition, / have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agreeto comply with same.All provisions of lawsand ordinances governing thistype ofwork will becomplied with whether specified
herein ornot. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shallnot be contmed to
ginve authodytoviolate orcancel the provisionsofany 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 onAGENT DATE
PROJECT NUMBER= 9200032 ISSUED PERMIT DATE= 0505/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE %TREET= i5212 E 26TH AVE PARCELO= 26544-1906
ADDRE%%= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — VERACRE%T (92%-306)
***
SEE NOTE ***
PLATO= 001593 PLAT NAME= MCLAUGHLIN ADD
BLOCK= 3 LOT= 6 ZONE= SFR DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= DABROI, J L PHONE=
STREET= 15212 E 26TH AVE
ADDRESS- VERADALE WA 99037
CONTACT NAME= ALWAYS ACTIVE — RON %LOAN PHONE NUMBER= 5O9 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 i41562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO.00
SEWER CONNECTION i 40.0O
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
0505/92 3635 50.0O
-----------
TOTAL DUE:::: DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50.0O
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% 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,�A% PIPIN� WATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (456-8O80)
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 *********************************