1992, 03-11 Permit: 92001461 Sewer t. . -
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 - - e provisions o any s . e or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constru ion.
SIGNATURE OF # 11/ / DATEICATIONr.HYI�G !/ // /
OWNER OR AGEN ���
PROAECT NUMBER= % : 00s•:,'i ISSUED DATE= 03/11 /92 PAi, i• •'s
s *: **n a *) i 7 i } t iiari*r4 rii ) ifip? -MIT INFORMATION *
ai * .a *i *; kiE ;! *s ?: * ,r? i } ea )
SITE STREET= 13704 I16TH A ; : Pti . IL..•n..= 27541 -081i
75: 1 .0 ' i
ADDRESS=
SPOKANE WA 99206
PERMIT iic°..... SEWER CONNECTION .... VERACREST 92S-187
3' t* SEE NOTE '*ii-
?"t. At :;;= t..:t..?'t'r:c, ? PLft ? NAME= CONVERTED CN ? t DATA
BLOCK= LOT= ? ZONE= i r: ? I _ r ,1 O .
+..
AREA= 00000000 i••/A= F iJ.I D i. = ???:P f = :,'
0B L.?jGS.= DWEL 1.4A j ER: D :,T
OWNER=t ": CAMPBELL, :i N B. PHONE= 509 922 4 5
,X t R i::.E:. 1 :::: 13704 i:: 16TH f i't::.
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= :...,t'..?'t B. . ... ...... 'i[.?r'?::. NUMBER= t:.s0`:% 922 4425
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A RE-f`AR:::: N/A
'hi*$1''!1'i':)+i*•k Pi P:•S'N:•94*hi**•k••A•**i!•h:•*:P:*•Ni 9!•9+i SEWER PE•{M,?. r i'1{**Ai***il•'}+:•****7+••A**3+i*•Pt*Ai 3+i*•Pi iui***
CONTRACTOR= OWNER PHONE=
ITEM Er? D..:. s..: ':It.: t .t.ON QUANTITY FEE AMOUNT
PROCESSING Fl::.I Y R'}
SEWER CONNECTION 40.00
Jk Ht * { t ik k h jt k r1NR*Pl 7 9 P * k ai } Nk PAYMENT S . ! "( l, kA tfibNiP7P {*Pk*1 !PC uPP .Jpu ,P
PAYMENT DATE RECEIPT::: PAYMENT AMOUNT
03/11 /9;2 1628 50 .,00
•} OtAL.. 00 TOTAL }:::: 50.00
PERMIT I : xF'E:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
NG
SEWER PERMIT 50.00 50.00 .00
50. 00 0.00 ,00
PROCESSED BY : ?;?..M.. t Ri,ia .L:H , ROBIN
PRINTED BY : DOMI tE OVi:CH , ROBIN
SEWER STUB t.iB:{ f•i:•.....I.?.!it... ? INFORMATION IS t1aA..1...1,11t...?::. AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR FtP 1.. I i..t"i?`°1. +" :: ? f: FIELD 1 't...00::A i E AND ICONF:'IRM 1 HF
ELEVATION AN POSITION t tF_ SEWER STUB i :EI lt' TO ANY OTHER1 >R
EXCAVATION
TO LO?.:AtE:. BURIED CABLES, GAS PIPING, WATER I. :.Nt::.:'• ; EC ?
?.:ALL BEFORE ORF r?,+U DIG (456-8000)
SEWER. STUBS UBS AR::. TO BE CHECKED PRIOR TO COMIIECTION TO INSURE
+ t. A t THEY E Y A fit:. CLEAR AND UNOBSTRUCTED TO r t'1E SEWER MAIN
'?.:i'c INSPECTION i.:R..t.)t'; _?TO COVER a:9+i Ni•Pi•a:•ri'n•P:a:'J+:
*9!•*4!•*iu•**•J+i :' •y HOUR NOTICE REQUIRED t::.)f *!t*je•ji•:Ji.j(.f..a}..+:.
4t P:4!'1+:-P:.)e:.)f..t+r.N. 456-3604 ********K*
J9PP Y iN Y u + .. } . J. u ) Y .Y J 9 9 } JTHANK ` „
t`*jt.}E'JY M•}.•it•t: ?'N.):.i+'9:'4}r 7l.i(.}:.xi t+:•*i+ *iti-:}!''JG F+r'J'4h tui +i:J:.:(.