1992, 07-17 Permit: 91007923 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 98260
(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 correctand authorize SkCounty to proceed with processing. In addition, I have reaand 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= 91007923 DUPLICATE DATE= 07/17/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13324 E 15TH AVE PARCEL0= 45224.2466
ADDRESS= SPOKANE WA 99216
PERMIT USE::: SEWER CONNECTION - WOLFCRE%T (91 -548)
PLATt= 002753 PLAT NAME= VERA
BLOCK= LOT= ZONE= UR 3.5 DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= KYNAST MARY PHONE= 509 924 597i
STREET= 13324 E 15TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-------------------------
--------
PROCESSING FEE Y 40.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
01 /24/92 499 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50.00 - 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : JOHN LARSON
******************************** THANK YOU *********************************