1992, 04-16 Permit: 92001797 SewerSPOKANE 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= 92001797
ISSUED PERMIT ) A i E 04/16/92 PAGE= f"j '3
•!::: •J: •r:::•. *:n. * 1•. •r.• 3: )!• ):• ).'Ji• ). * * * ): t.:: )t •'J = )'• )r ):• »• h'' ?::. 't ? ? .?. ? .?. ? ? ?" o .'; ?'? A 1 . 1_t r•,1 * x• is )!: * a. ): •Jr * * tr * *:.:: * 3: *:: u• ar t?• :. * *:. is at
SITE STREET= 14915 E 17TH CT PARCEL4= 26541-2807
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION .... VERACREST ? ':.9 :,.•...24`::j
PLATO= Oi::c: i)t'•)3.4 ,'4 PLAT NAME= JAWS ADD
AREA= 000000 Ft= ; WIDTH= DEPTH=
•O?BIyri.+ q DWELLINGS= 1 WATER DIST
::::
R;/ j_::
OWNER= OWNER PHONE=
STREET= 14915 E 17TH CT
ADDRESS= VER. ti) tL..E WA 99037
CONTArT NAME= t Lf: CONSTRUCTION PHONE :`4 i, III T: 509 928 6760
BUILDING SETBACKS: FRONT= I = 1! A LEFT= 1. A
RIGHT= N/A REAR= :::: ;, /A
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CONTRACTOR= TLC CONSTRUCTION
STREET= 13rr„ 1SA! L':. 12TH t•j 'u i::•
ADDRESS= SPOKANE WA 99216
PHONE= •::: 50`: 927 6760
ITEM DESCRIPTION QUANTITY FEE AMOUNT
i.
PROCESSING 1» E E:. .Y. 10. i; 0
.S! Ids !.f !
SEWER CONNECTION '? t :. :. .. ..3
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PAYMENT NT tDr"+`} E REc:E:?„. i:: T:A: PAYMENT AMOUNT
N i'
04/16/92 2760 50.00
TOTAL r•+:... t,(,1('= .00 TOTAL ? Ai». PA.%D:::: 50 .00
PERMIT TYPE iF» C:. E AMOUNT A" ? I+• t\l t PAID AMOUNT OWING
r•• r.
j0 .; 5
00 0 .00 .00
SEWER PERMIT
i' i'%.i;.:L
:: s. t
50.00 50.00 0{j
t..i•i, ROBIN
MIT
. L, i"i , ROBIN
SEWER ::; ? !.i .: AS—BUILT I!' . s ° !"t (i ! ? IE AVAILABLE AT 1 ? ?"? ?::. COUNTY
OR R +,,r:j t FIELD 1...1.i1...F'i! l::. t1I•w1. CONFIRM THE
?,; i, i 1v ?''•'. E i t.: ... i '{` !°, f•i P' i»` i....i. i ?'! ! .!. ,> ? t.i P' .!. !. ! !.: !. i
ELEVATION •ANDPOSITION !.,1'- SEWER? STUB PRIOR ? l..l ANY !.i OTHER
EXCAVAT
+.I+.•.ri i i:. Bi.3i;.?.i.. +3 ?.:fi1 PIPING,WATER i._I.N?.... • ECT.
STUBS f Ai i't ?: TO i .t:t E:. CHECKED PRIOR .i I_
•i i"ir^i•s THEY ARE CLEAR AND UNOBSTRUCTED
't?i::'1•'ED
11'1. X'..).Jt) J .4 H1.31.3 .?.!.:1::. REQUIRED.. .... ......... w r.. , ».. 04
"10, INSURE
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