1992, 08-10 Permit: 92006265 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
..". "".,,.,. ,"", ,, ., .. ..
ADDRESS= SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION - SoHTH vokomo
K*K SEE NOTE
0016'*3 PLAT NAME="
BLOCK- 31 LOT- 21 ZONE- AGSUB DISTO
AREA= 00000000 DEPTH
OWNER- SANDER PHONE= 509 924 6597:
STREET- 11207 E 26TH AVE
CONTACT NAME- COURCHAINE EXCAVATION PHONE NUMBER- 509 924
BUILDING SETBACKS : FRONT- N/A LEFT= N/A RIGHT= N/A REAR- N/A
CONTRACTOR- COURCHATNE CONSTRUCTION PHONE- 509 ?24 545
STREET- 16402 E VALLEYWAY
ADDRESS- VERADALE WA 9907,7
ITEM DESCRIPTION
i
, FEE AmOUNT
PROCESSING
10 , 00
SEWER CONNECTION
PAYMENT DATE RECEIPTO FA'f.MENT
06/10/92 6Z54 50 , 00
TOTAL DUE- : 00 TOTAL PAID- 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 ,00 50, 00 , 00
50, 00 50 , 00 , 00
PRINTED BY : DOMITROVICH , ROBIN
BUILT INFORMATION
UTILITIES DEPARTMENT ( 456-3604 )
UH P1FPLILNi
UCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER ETUB:::: ARE Io BL FHTUH i.. uNNLuiTuN
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER VAIN
CALL FOR
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