1991, 11-21 Permit: 91008124 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 REOUIREMENTS/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
OWNER OR AGENT
PROJECT NUMBER= 91008124
****3*1E1i 3i li **iE ii *3**3**3*
AUPATECATION,Je-v al) 1991
ISSUED PERMIT DATE= 11/21x'91 PAGE= 01
PERMIT INFiORMATION *** l 1p1 l 1 i 1i ar**;c*ui:-X-**):******
SITE STREET= 12901 E GUTHRIE: DR
ADDRESS:: SPOKANE WA 99216
PERMIT USE:, EWER CONNECTION -- H I L.LCRE:ST (9i - S85)
*** SEE NuTE a**
P ARCEL: = 27542-2910
.n
PLAT:;: 001223 PLAT NAME= HIL..L..C:RE::ST ACRES 2ND ADD
BLOCK,, + LOT= 10 ZONE= (.)R(--3,5 DIST;
AREA=: F/A=:: F WIDTH= DEPTH=
OF .BI.Df.:S=: 1 DWELLINGS= i WATER DIST :_
OWNER= L.F.. FRANC CIS, F I)
STREET= 12.901 E GUTHRIEE DR
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= OMEC CONSTRUCTION PHONE NUMBER== 509 44:_: 3010
BUILDING SETBACKS: FRONT= N/A LEFT== N/A RICHT= N/A REAR== N/A
#iii4ri*****it#7iitk**.*.ri.ri..it.ih.**..**.*ii.ii..k. SEWER PERmIT 'A'A'JI'/C**34'R'*jlllll.11h..h..h.iF.7l..**'AA: .',A.:p.
CONTRACTOR= OMEC. CONSTRUCTION
STREET= RT 1 BOX 88
ADDRESS= SPANGLE WA 99031
*1i.*.1p*. .*
ITEM DESCRIPTION
PROCESSING FEE::
SEWER CONNECTION
PHONE= 509 443 .hl)
QUANTITY FEE AMOUNT
10,00
1 4'0.00
..3..;*.*. A..1.3.;i..A.ii. PAYMENT SUMMARY .x..h;.ri..3.**.k.h..h..3*3..3..ri3**3w;*al:ii3u.3i.3i..x.3*;; .*.x.
PAYMENT DATE
11/21/91
TOTAL. DUE=
PERMIT TYPE::
SEWER PERMIT
RECEIPTT PAYMENT AMOUNT
8939 50_00
.00 TOTAL PAID= 56.00
F AMOUNT AMOUNT PAID AMOUNT OWING
50.00 .50 00 ,00
50.00 50,00 .00
FROCESSI:ED BY: DOM:I:TEii_)'VICi-i, ROBIN
PRINTED BY: DOMITRO+'I:C.II, ROBIN
SEWER ETU AS—BUILT INFORMATION IS AVAILABLE AT THE CCIUNTY
UTILITIES DEPARTMENT (4.56-3604;
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE _dUR'IED CABLES, GAS PIPING, WATER LINES, Ei:CT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE:: TO BEE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
ieii)i ..***len: CALL. FOR INSPECTION PRIOR TO COVER ii*..*.nli..ri.:x***
24 F7(1(,Ili NOTICE REQUIRED fit di li—)i di 1P )4li le
456-3604 .r':.re.n..n: nr .x..n: * * n:
,:(***************:Ai4 t i ',CA*** Ti -HANK YOU 1*3'i1E'J>141k'14ik')G'IiiYr***3'/l'****)l'L}dl' 1*.x...R.:****:l@:*:lt.