1992, 05-18 Permit: 92003357 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= 92003357 ISSUED PERMIT DATE- 05/18/92 PAGE= 01
*****-*3l*•*•*•*•*'k*.:***.**T:**•***** PERMIT INFORMATION *rik**•b:-•irn:•*-u:*** kb:-*** •a**a••****
SITE STREET= 5616 E 19TH AVE PARCEL_;= 26531 -1612
ADDRESS= SPOKANE WA 99212
PERMIT USE= SEWER CONNECTION — 92S-472
PLATY= 001170 PLAT NAME= HEATHER PARK 1ST ADD
BLOCK= 3 LOT= 12 ZONE= UR-3.5 DIST= E
AREA= 00000000 F/A= F WIDTH= 200 DEPTH= 300 R/W= 50
t OF BLDGS= 4 DWELLINGS= i WATER DIST = EAST SPOKANE
OWNER= NICHOLS, KEVIN PHONE= 206 358 3515
STREET= 5616 E 19TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= SHOREWOOD HOMES INC PHONE NUMBER= 208 772 7581
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT== N/A REAR:-: N/A
***************•a':************* SEWER PERMIT * • • ••>r•x*•>t• * •**•x :*•u•** ••* •n •A•**•x••>,:b:
CONTRACTOR=: SHOREWOOD HOMES INC PHONE= 208 772 7581
STREET= 8191 LOCH HAVEN DR
ADDRESS= HAYDEN LAKE IN 83835
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10..00
SEWER CONNECTION i 40.00
•p:• ......R.**•b:•x*****•x•**#*•' •**#•x• • • •* • PAYMENT SUMMARY •>t**#it :* :***#ii:R..}:•• •:•x** ••*h p:
PAYMENT DATE. RECEIPT„ PAYMENT AMOUNT
05/18/92 3699 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
*.k****************************** THANK Y O u •*..A..*ii**••H•a•u.•*******•k** ••a• :ci v:*###*k:n:i+:
X15 Buc)�-f