1992, 06-25 Permit: 92004739 Sewer SPOKANE COUNT?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= 92004739 ISSUED PERMIT DATE= 06/25/92 PAGE= O1
******'!!•.•*.•'P.•.•.•***********•3t'*** PERMIT INFORMATION *******'P:.•**.•*3{••b.'**********.•'P:•P:
SITE STREET= 14607 E 18TH AVE F'ARCELO::= 45262.3411
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — WOLFCREST (92S-660)
PLAT4= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DIST= F`
AREA= 00012065 F/A= F WIDTH= 27 DEPTH= 95 R/W-::
OF BLDG'S= w DWELLINGS= i WATER DIST =
OWNER= MILLER PHONE= 509 921 9459
STREET= 14607 E 18TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5405
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT== N/A REAR= N/A
'P**:p;***.•*********'Y:*•A:******. .y{.* SEWER PERMIT **.•.•**P:'F:'P:.:*'A:..*.p(..p..•A:**'P:'P:.:***.h.:A.P:'P.•'P:
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE::- 509 924 5405
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE ._.�____... i 0.00
SEWER CONNECTION 1 40.00
;r.j;:=A.•*******x***.•***.•******* :** PAYMENT SUMMARY ****•*R* • .*****b**ii******
PAYMENT DATE RECEIPT PAYMENT AMOUNT
06/25/92 4878 50.00
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 BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN !! r !!
*********************fit•*k ******.• THANK YOR.I *************** ****,k************