1992, 04-10 Permit: 92001894 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
F°j,.`,I jE::C.T NUMBER= 92001 894 ISSUED PERMIT DATE= 04/10/92 PAGE= 01
**************************** PERMIT INFORMATION *a• •it•*• •itasii•*a 3i•#:iii•#**ii• *: r.•*
SITE STREET= 13203 r 11TH AVE:: PARCEL4= raG .4.4.....j • 1 i
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- Will._F:'CRES T (92E-266)
*** SEE NOTE ***
PLATO= 001670 PLAT NAME=: MOORE: ' S PARK SUB. TFL. 1 54 , VERA
BLOCK= 154 LOT—: ZONE= AGRI I DIE: F=
AREA'- 000O0000 F% 1= F WIDTH= DEPTH= F./'W:=: 50
0 OF BLDGS= i 4 DWELLINGS= 10 WATER DIST _•
OWNER= GOFFIEL.I) , DAVID PHONE=
STREET= 13203 I i 4TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & S CONSTRUCTION F'HUrlE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
• ****•***•*****R***********x**•x SEWER PERMIT .il..A.*it**#P n•*h***•b.•**•P.•**.b...p,.R..p,..pA**'h:',l*
CONTRACTOR= H & S CONSTRUCTION PHONE== 509 926 8964
STREET= 11817 E V ALL..E::`T WA`T AVE::
ADDRESS= SPOKANE. WA 99206
]:TEM DESCRIPT]:ON QUANTITY FEE AMOUNT
----------
PROCESSING FEE `Y` 10.00
SEWER CONNECTION i 40.00
*ii* *** *•1i•******************* PAYMENT SUMMARY *•****a***************•i**' ** *
PAYMENT DATE:: RECEIPT : PAYMENT AMOUNT
04/10/92 2555 5 s. r ,
------------
TOTAL DUE= .00 TOTAL PAID 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50..00 .00
50.00 50.00 .00
PROCESSED DY : DO1I T ROVICH; ROBIN
PRINTED BY : I)OMI.TROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT= '.A+' 6••••;h60 )