1992, 06-29 Permit: 92003925 Sewer ,71
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= 920/03925 ISSUED PERMIT DATE= 06/29/92 PAGE- (:}•i
******3******************** PERMIT INFORMATION ******************•*k** *•***
SITE. STREET= 1 2505 E 19TH AVE PARCELv= 45272.2523
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -• HILLCREST (92S-540)
** SEE NOTE ***
PLATO= 001222 PLAT NAME= HIL..LCRE:ST ACRES 1ST ADD
BLOCK= 1 LOT= 8 ZONE= SFR DIST: ::: F'
AREA= 00000000 F/A= F WIDTH= DEPTH= €/W==
OF BL.DGS= I 4 DWELLINGS== i WATER DIST =
OWNER= SHIERMAN PHONE=
STREET= 1 2505 E 19TH AVE
ADDRESS= SPOKANE: WA 992.16
CONTACT NAMES COURCHAINE. EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*•***•*****•****** •**•*•*****b*ai SEWER PERMIT 9k*•L•3!•**.H..M* kh1{•M•ala•&P:•lI.!!p.R..*kN:b:*h..p;..*
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5.85
STREET= 16.02 E: VALL_EYWAY
ADDRESS= VERADAL..E WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE:E_____._.._.__._..._.___ -------- 10
A0
0
SEWER CONNECTION •i 40.00
* * ** 3 * *** PAYMENT SUMMARY 3ERil• •*3k•X•f1•x9k: )t3l• ••b:•14•T'•}l9k3!••Yl'It'•b:•A•9l•b:•P:it
PAYMENT DATE RECE:[PT4 PAYMENT AMOUNT
06/29/92 496:1 50.00
TOTAL DUE== .00 TOTAL PAID= 50.00
PERMIT TYPE F'EE: AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50..00 50.00 .:00
50.00 50.00 .00
PROCESSED BY : DOMI'TRoVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
TY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE
ELEVATION AND POSITION (-1F SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT
CALL.. BEFORE YOU DIG (456-8000)
SE:WER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE
RE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
xr* **it*•a• CALL FOR INSPECTION PRIOR TO COVER A*k*•a . .*.p:•*
ii• •3i•3iii ** 24 HOUR NOTICE: REQUIRED iii•*****xis*
..*4(.4(.3**ii i;:iR 456-3604 Rik it*•h:••n:a:. *•n:
r iii ? t ri* t**iiiiit iit***i *ir ri ixi* THANK Y !I • 3 ii * t a * r*
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