1992, 10-08 Permit: 92008596 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
PROJECT NUMBER=: 92008596 ISSUE.!) PERMIT DATE::- 10/08/92 PAGE= 01
***3*********************** PERMIT INFORMATION **********3•*****************
SITE STREET= 12818 E:: '3RI) AVE: PARCEL-4= 45272.3005
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER HOOK--UP 92S--1024
PLATO= 001223 PLAT NAME= HILLCREST ACRES 2ND ADD
BLOCK= 4 LOT== 5 ZONE= I IFt_..3..` DIST.•:-- F_
AREA= F/A== F WIDTH= 81 DEPTH= 216 R/W:= 50
m: OF BLDGS= i 4 DWELLINGS=: i WATER DIST = SPOKANE SUBURBAN
OWNER= GORDON, MICHAEL PHONE= 509 922 1 705
STREET= 1 281 8 E 23RD AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DUAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
• •******** :• ***•*•*•** •*** •**** SEWER PERMIT *•x**•x•• •** •• • •** :* ••x****** • :*A •
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 9903.(
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
**jl9l..****R***#*ii*****fl*3E***i{*** PAYMENT SUMMARY ** •#**it**ii***#*iia***aiiriii• •ii**
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
10./08/92 8720 50.00
_
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT .�— 50.00 50+0
0 .00
50.00
PROCESSED BY : BARRY HUSFLOEN
PRINTED BY : BARRY HUSFLOEN
• **** •*•x********** c******a***** THANK you ***** •u*** ******* **** ********