1992, 01-13 Permit: 91008399 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
i
EITE STREET= 15005 E 16TH AVE
PERMIT � .-.:.r
, ... :.: aid I•• CONNECTION
VERACREET
PLATO= 002751 PLAT NAME= VERA
OWNER
STREET= •.' am.._ PHONE=
05 E -16TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= i..i i...;!,7 i--j ( ACTIVE N .'-.i _ PHONE NUMBER=e
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
r. .. .. .. .. .. .. .. ............r.?.ri•'h::}:P:1!::?+:.j:.yj..jj.:%j..}.. EEwER pERmIT .31:.: .:{.:,y..;'.:!=:*:.t..; '.:!!:.: .;t::,{.:: :: :;j.:,j.:, :?j.:,j.
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION UANTI"T Y
10, 00
SEWER CONNECTION 1 40 , 00
.S .E f .! 1. .. i.:,i: !:::;.::;::yj.:fj.:,i.:!!::.j.:.;.:.y::,j:}j.:} :,j.
. .... .:. ..r... .. .... .. ...... . ,. .r.r. .. .. .. .. .... ..:. ....r. ii".....N i r.. ...?`I tt'!. .. f :!i:*'if::`.:'!:'i+'i::!?:i... ..K":::i!::'.:,},:!?:._: .j}:.,. ,:(.. ..i!..:ij.*.i... ..
PAYMET BATF RECEIPTI PAYMENT AMOUNT
01 /1 /92 0229 50, 00
................................................
TOTAL DUE- ,00 TOTAL PAID= 50 , 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
50, 00 50 ,00
ROHIN
PRINTED BY : DOMITROVICH, ROBIN
t
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO ETELD
FVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE
BURIED : OAS PIPING , WATER LINES, ECT „
CABLEE
... ..
SEWER ETUDE ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND
UNOBSTRUCTED
I: i