1992, 04-10 Permit: 92001407 Sewer SPOKANE 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 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.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= 92001407 ISSUED D f•E RM . ! DATE== 04/1l::/92 PAGE= 01
••r.•ie*********#***kik**•*af•***•**** PERMIT INFORMATION *•*•****ri•*•k• •#******aitii*****i?iEr'
SITE:. STREET= 13515 E 7TH AVE PARCEL:n= 22541 -0720
225c -
ADDRESS= SPOKANE d- 7s22 ! h
PERMIT USE= SEWER CONNECTION .... SOUTH BLAKE (925-172)
PLATO= 001 669 PLAT NAME= MOORE ' S SURBURBAN HOMES ADD
BLOCK= :g LOT= 8 ZONE= AGRT Dl T•::w: �.
AREA= 00000000 F'A:•- F WIDTH= DEPTH== R/W=:: r,,
. OF BLDG S= : DWELLINGS== 1 WATER DIET =
OWNER= POHLE, EDWARD PHONE=
STREET= 13519 E:: 7TH H A V E
ADDRESS= SPOKANE WA 992216
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER== 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT N/A RIGHT:::: N/A REAR= N/A
*x n**a tt*#*a** i* i a a m * i 3i*#k*kk SEWER ~ " t M I T $ k jM* t il l** t*bR d A Rt h*A H§ RF PAFR
CONTRACTOR= H & S CONSTRUCTION PHONE== 509 926 8964
STREET= 11817 E VAI...I...C:YWA`r` AVE
ADDRESS= SPOKANE WA 99206
ITEMEt DESCRIPTION QUANTITY FEE AMOUNTN
PROCESSING FEE 10.00
SEWER CONNECTION 1 40.00
'Al•:n***1kb•**7l)k********Rfi* •* •**91** PAYMENT SUMMARY *'b:**•ak***•*•H*' ****•J4*!t•fi:*jd:*3t*')t*
PAYMENT DATE RECEIPT1 PAYMENT AMOUNT
04/1 0/92 2.555 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
EEWE::r PERMIT 50.00 50.00 :.00
50.00 90.00 .00
PROCESSED BY : DOMITROVICH,, ROBIN
'RIN.TED BY : DOMITROVICH, ROBIN
*iiri'**•}i*iiuisii**************A:****#* THANK YOU itP:*•}{•Rai•*#Yti{b:•A'R•YF34•Al•a'r**k!tik •*yLb•9i*P:P:P:P:'9l'