1992, 06-23 Permit: 92003992 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/certify that/have examined this psmu/unpnout/on.mumthat mo.nm,munvnoonm/noumusubmitted agentto
nrovmnnooumv nnumnp//onuv"mtmo
and correct, and uumo,/o,Spokane Countym proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to com / ith same.All provisions of laws and ordinances governing this of work will be complied with whether sm u
herein or not.I understand that the issuance of this permit/apn at/onanuunvouuoonuontmavovxonan»mv ls or Certificateof 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= 92003992 ISSUED PERMIT DATE= O6/23/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
ITE %TREET= 13622 E 161.H AVE PARCELO= 45271 . i028
ADDRE%%= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — VERACRE%T (92%-563)
*** SEE NOTE ***
PLAT4= 002753 PLAT NAME= VERA
BLOCK= 191 LOT= ZONE= UNK DI%T4=
AREA= 00000000 F/A= F DEPTH= T.;./4)
0 OF BLDG%= i 0 DWELLINGS= i WATER DIET =
OWNER= %CIUCHETTI DON PHONE= 509 926 3100
STREET= 13622 E 16 . H AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & % CON%TRUCTION PHONE NUMBER= 909 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** F. PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
' ------------------------- --------PROCESSING FEE . 10.00
SEWER CONNECTION i 40. 66
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/23/92 4775 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
5O.00 .00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER %TUB AE—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%, GA% PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER ETUBS ARE TO BE H TpuNNEumj TO IN%URE
THAT THEY ARE CLEAR N %T D TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *************************** ****