1992, 02-21 Permit: 92000689 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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
P l ::.!-..!t:.t.; : NUMBER= 92000689 ISSUED PERMIT DATE= 02/2i/92 PAGE= 01
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PERMIT INFORMATION
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SITE STREET=
i2423 E
2iST AVE
PARCELO= 27542-2356
ADDRESS=
SPOKANE
WA 99206
ADDRESS=
.:ER?"!.?.! USE=
PERMIT
,at::.WER CONNECTION
CONTACT
t"? .I. ?... L t.: ?"•: ?::. i'. ? (92S-73)
)
?•. i_. A y � i � j,,; N
BUILDING
SETBACKS:
FRONT= N/M
.I.
LWI= N/A,
PLt}?.,,.=
00224
PLAT ?''iAI"?E=
HILLCREST
ACRES 3RD A!iti
BLOCK=
1
LOT=
14 ZONE=
AGSUB DISTO= i::-
f'4?''•.!.':.r:t-
00000000
F/ 6`.}•:::
I: WIDTH=
DI::.PTi..l- r,;/W::::
OF t•tt )i''•'....
0
DWELLINGS=
1 WATER
DIST ::::
.1- FjjQQE NUMBERt §09 924 548!5'
RIGHN N/A REAR= Nli-t
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CONTRACTOR= i.:t.!URt.:e'?A.!.P' ::. CONSTRUCTION ?.:HO!S.E= :?!:.`.+' 92:9 5:48
STREET= i6402 E VALLEYWAY
ADDRESS= VERADALE WA 9903-7
ITEM DESCRIPTION QUANTITY FEE AMOUNT
. ........................'i'.........._...._......_-..-.........._....-.............. .._....._................ —................_................ ----SEWER CONNECTION A. 40.00
PROCESSI
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PAYMENT SUMMARY •1+i 1+i 'ik •!j.• '++r � +i -Ni -Pr -P: 7+: •Sk 'P::++::++: '?C :+C •Nr 9C 'P: i+: 'N: 'P: 4}: -R' •�: P: -Pr i`
PAYMENT DATE E Rt::.i.:t.:..tl.: ; i:• I=`A'Yt"it::.!`?T AMOUNT
TOTAL AL DU::.:::: .00 TOTAL I AL PA.I:ii= 50:.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ .............................................. ----
SEWER PERMIT 50.00 50.0C) .00
_.................................................. ------------ ----------------
5&0(_)
.....-...............–............._-----
PROCESSED ! : y : !_? i.! ?•'? .i. ! ; t.! a .?. t-,, H , ROBIN
PRINTED .B } : !_? t_! !" ! _. ? R t.! ti I i.: H t ROBIN
SEWER STUB AS—BUILT INFORMATION I:.; Ai:.AILABLI.':. AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT AN ..I.O FIELD D L.. :•..A; E ,AND CONFIRM THE
ELEVATION A ? a ! / POSITION l 1 C' SEWER ,::? t..B PRIOR i t.! A N Y OTHER
I' ..... .
EXCAVATION
TO LOCATE E BUit`iE:. i CABLES, Gis,:i I' IP.?.Nix , W(-:';TI::.I'; LINES, ECT...
i.:f•i:....... BEFORE YOU (456-800W
SEWER STUBS i,ii;S t•}RE TO BE t.:i-?I::,CKED PRIOR TO CONNECTION
.,i"iNNEC i.Li_3N ..I.i_.i .I.N,`.?URI::.
THAT r t -ti::.'} t?••i ?''•: I::. CLEAR A 1 !_? UNOBSTRUCTED ? O THE E SEW?::R MAIN
, iI??+ iINSPECTION ";ittO COVER
4 HOUR int.! ? f. t.: I::. REQUIRED
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.......... 1... i.:. 1. ?..... /. ,. 1. ,... ). }....... f. t. t. t. 1....... 1.
THANK tt}?,, .. { i„ll,-I 1. t... }. t.....:..... t•..... }. Jt ..:. N tt �..M .. 1......... )....... i�. '?+:
OWNER=
f %i O l .i i E .I. f''s +N
STREET=
',
'irj4.::::} I::. :'. l ,'.r T
A V I::.
ADDRESS=
SPOKANE WA 99206
CONTACT
NAME=
t.: t.! t.! R i..: !"I A I N E L':.
?•. i_. A y � i � j,,; N
BUILDING
SETBACKS:
FRONT= N/M
.I.
LWI= N/A,
SEWER PERMIT
.1- FjjQQE NUMBERt §09 924 548!5'
RIGHN N/A REAR= Nli-t
•ij• •!j• :�,. !j• •!+i tu:• •fir 'tk 4j• Pr 3+i Pi l+i -i+r ?• 1+: l7 1l- i+r +i 'Pr :G 'Pr ')+i •Fi :u:• :P; :pi •itr ji•
CONTRACTOR= i.:t.!URt.:e'?A.!.P' ::. CONSTRUCTION ?.:HO!S.E= :?!:.`.+' 92:9 5:48
STREET= i6402 E VALLEYWAY
ADDRESS= VERADALE WA 9903-7
ITEM DESCRIPTION QUANTITY FEE AMOUNT
. ........................'i'.........._...._......_-..-.........._....-.............. .._....._................ —................_................ ----SEWER CONNECTION A. 40.00
PROCESSI
9k •tk -1+: 1t -P: ;R ik .?,:.A..P:.P:.?k .tt. ?+: •P: A• 9+: -?+: •)L ?': 'i+i ;+r -J+i '!k 9k i+: •P: P: 'f+: 9k 9k
PAYMENT SUMMARY •1+i 1+i 'ik •!j.• '++r � +i -Ni -Pr -P: 7+: •Sk 'P::++::++: '?C :+C •Nr 9C 'P: i+: 'N: 'P: 4}: -R' •�: P: -Pr i`
PAYMENT DATE E Rt::.i.:t.:..tl.: ; i:• I=`A'Yt"it::.!`?T AMOUNT
TOTAL AL DU::.:::: .00 TOTAL I AL PA.I:ii= 50:.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ .............................................. ----
SEWER PERMIT 50.00 50.0C) .00
_.................................................. ------------ ----------------
5&0(_)
.....-...............–............._-----
PROCESSED ! : y : !_? i.! ?•'? .i. ! ; t.! a .?. t-,, H , ROBIN
PRINTED .B } : !_? t_! !" ! _. ? R t.! ti I i.: H t ROBIN
SEWER STUB AS—BUILT INFORMATION I:.; Ai:.AILABLI.':. AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT AN ..I.O FIELD D L.. :•..A; E ,AND CONFIRM THE
ELEVATION A ? a ! / POSITION l 1 C' SEWER ,::? t..B PRIOR i t.! A N Y OTHER
I' ..... .
EXCAVATION
TO LOCATE E BUit`iE:. i CABLES, Gis,:i I' IP.?.Nix , W(-:';TI::.I'; LINES, ECT...
i.:f•i:....... BEFORE YOU (456-800W
SEWER STUBS i,ii;S t•}RE TO BE t.:i-?I::,CKED PRIOR TO CONNECTION
.,i"iNNEC i.Li_3N ..I.i_.i .I.N,`.?URI::.
THAT r t -ti::.'} t?••i ?''•: I::. CLEAR A 1 !_? UNOBSTRUCTED ? O THE E SEW?::R MAIN
, iI??+ iINSPECTION ";ittO COVER
4 HOUR int.! ? f. t.: I::. REQUIRED
''4 r_:.....ti6i.i
.. ,: '• + ii ,.. i.: j.:ij.: j.: j.:H• -!F :.j.:,j.:,j..:.:!j- -1j.. j..::,j.:.;....: ' j...:,a.. j.:,j.:,j• i+::}j.: j.:,j.:+i.:,j. ' i.
.......... 1... i.:. 1. ?..... /. ,. 1. ,... ). }....... f. t. t. t. 1....... 1.
THANK tt}?,, .. { i„ll,-I 1. t... }. t.....:..... t•..... }. Jt ..:. N tt �..M .. 1......... )....... i�. '?+: