1992, 06-04 Permit: 92003984 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT __ DATE _ -
PROJECT? NUM E 92003984 ..,s-,.UE::._? PERMIT DATE= 06/04/92 PAGE= 01
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+ i ?:: ? R E i::. ! = 13620 E20TH AVE PAi(.:E::.f.. --' 27541 -9003
ADD?;E:.L S= VERADALE WA 99037
PERMIT USE= ,:}?::.64:...?C CONNECTION 041 O i...E"t.:E":C:.Cs ? (.92E-5!...> 1)
3!:3r?4• %•E E NOTE .i;..i,;.:
PLATO= 999999 PLAT NAME= RANGE
BLOCK= _„ : ZONE= g x”I ; i : ? t .
AREA=
E:.
00000000 i•• t" WIDTH= 6,,.j0 DEPTH= 270 i•;/E;:E::::
-;!• +„t+' +;i+ 1.}{:e:':•:::: .f,. f:..?...i....4.te5:?:.:.... 4 WATER.::.R .t? ..✓ 1 ....
OWNER=:: ?'?F'•t?. i...+:.. + : CHRIS 1.S ,ii..)?''.`... ..}ti: 9 :yin.. . 8794
ETREET= 13620 E 20TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= ?..i !^< S +_:i..?N,:t• ; +,,_is.: I i.?.i.i:,j PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : ;' ';i,N (':::: N/A LEI:: N/A RIGHT= N/A REAR= N/A
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H ;t i.:i.:Nl Rui.: ? .[ON f HON?::.:: 5(:)9 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM EM i}r::.ECRIi.: + +.i.. ?`' QUANTITY FEE AMOUNT
PROCEESING
10 .00
?::.i, ?::.. . i t�;?�:!i'I t::.I , '
SEWER i i''a 40, 00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/04/92 .4187
.l t•.}.: .}0
TOTAL DUE= ,00 TOTAL PAID= 50,00
PERMIT FEE
,.. .t•+:: +i s T PAID
.+.y.
+!
;.:i•t t” i, TYPE•`i^ ; 1� AMOUNT AMOUNT OWING
SEWER PERMIT 50..0 ? ,f0..00 :.0!:.
P: :.Siwe:.,±i 'I::D BY : ri'H.E_I !'il.;;}�.5.'•..H , ROBIN
PRINTED jai'r : Dl:ii•'?.i. :x«;1.5'>•'Ic::1•'i J ROBIN
E?::.+i:+ER STUB AS—BUILT .?•'Ji"i.ili?"A .?.i.iN ...... +''t4'•i..e.... :i2:`LE... Ott . THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR O?'!: APPLICANT IS TO F + i••1 +1 LOCATE Fit#7:° i, c ? ,..?+::
ELEVATION AND
?.:+.+•''•.i. `t i.Oi`'•! i.{?" SEWER STUB PRIOR TO ANY . E i"ER
EXCAVATION
TO ? i „ x BURIED CAB
4 .E rG , : PIPING,
1 . } i ' i A R LINES,
y : S »iT.CALL BEFORE YOU D , G (456-8000)< »r . »: 00)
t j..,,i..i.; , i.E.:5; !R :. i i "S CHECKED "!;; CONNECTION t i t
,.:1...5r•J....., :::• } i f�! ! PRIOR?"•..t.'..1 i"•. ! '..J a.'s'''� '..{..!"?::.
? 1i•:i + THEY 'i« CLEAR
C . nr } ? ) tvt t . . ? ? g TO THESEWER
EW: R MAIN
) k4Nu ' ii1n - „ , INSPECTION PRIOR TO COVER jjiit .ui :
I
}.y : rC ?3 !3 : d HOUR U ,# . l : REQUIRED ?. Ck3 : ;ij
ia $ i1R } k 456-3604
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; : : : } 1 : * : : : 1 1 : } i1r:}.: : : )t1THANK " i{ : : i } j1b + j µ..ji...j....:.j..:.,}..:.ly..: : h } F } }N i : jj: : j }