1992, 06-18 Permit: 92004494 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this perm/v^vpom*o", state that the information contained m/tand submitted bvm,mmvagent ocompile said permit/application is true
and correct, correct, and aulhorize Spokanepokane County to proceed with processing In addition, I have read and understandow/wopsur/uwnsuumsmswro/wonus
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 0nAGENT DATE
PP0.|FCT NUMBER= 92084494
ISSUED PERMI7 DATE-, 86/}O::::2 PAGE= 01
**************************** EERMIT INFORMATION *************************«**
SITE ?)RE[T= 1616 % MAMEK RD PARC8L0= 45271'1817
ADDRESS- 3ERADAL[ WA 99037
PERMIT USE= SEWER CONNECTION - WOLRCRE%T (92%-635)
«*« SEE NOTE ***
RLAT4= 882752 PiA[ NAME= VERA
BLOCK= LOT= ZONE= UR -345 Dl?T0=
AREA= 8= F WIDTH-, FIO DEPTH= 245
OF BLDS= i 0 DWELLINGS= i WATER DIST = VERA
OWNER= THOMAS, ELV8N
STREET= 582 N MULLAH PD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 78
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A PEAR= wiA
PHONE= 50c �2.7 0655
*************x***««********** SEWER PERMIT **x*xxx*y**x**,MMvx+IC»W*
CDN7PACT R= H & J CONSTRUCTION PF -1 = 509 9'26 R96,1
%TKEET= 11817 E VALLEYWAy AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FE[ AMOUNT
-----'------------------- -------- ----------
PPOCEyS[NG FEE Y 10.00
SEWER CONNECTION 1 48'00
p*xxv****xx***********x******** PA/MENT SUMMARY *«*******O«*»*k*«»******A
PAYMENT DATE RECE1P7It RAYMENI AMOUNT
86/18/92 4648 50,00
'TOTAL DUE= OUE= :00 TOTAL PAID= 58^00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50`88 58.08 :88
50488 50'08 '80
D0MITROVICH. ROBIN
DDMITRnVlCH, ROBIN
PROCESSED BY:
PRIN7ED 8Y:
SEWER STUD A%-Rb[L7 INFORMATION [S AVAILAB|[ AT THE COUNTY
VTI| ITlEJ DEPARTMENT ,456-3684}
CO TRA[r0R OR APPLIGANT l% TO FIELD LOCATE AND CO*FI:eh IHF
FiEW,TIOA AND POSITION OF SEWER STUB PRIOR TO ANT OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CAiL BEFORE YOU DIG (456-E:;008)
[
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