1991, 11-25 Permit App: 91008158 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permiVapplication, 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= 91008158 DATE= 11/25/91 F'AGE-= 01
*****•* THIS IS NOT A PERMIT **• ••ii•ii•ii•
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13003 E GUTHRIE DR F'ARCEL4= 27542-2917
ADDRESS== SPOKANE:. WA 99216
PERMIT USE= SEWER CONNECTION
*** SEE NOTE ***
HIi..LCREST (91—S86)
FLATa= 001 223 PLAT NAME= HIL_LCF(EST ACRES 2ND ADD
BLOCK= 3 LOT= 17 ZONE= UR -3.5 DIST4= E
AREA= F/A= F WIDTH= DEPTH= R/W= Citi
OF BLDGS= S 4 DWELLINGS= i WATER DIST =
OWNER= BAXTER JAMES I... PHONE=
STREET= 13003 E GUTHR:EE DR
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= JAMES L. BAXTER PHONE NUMBER= 509 92R 3114
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/;t REAR= N/A
*46*************************** SEWER PERMIT****ii•**•ii*•ikii-k**3i•**#**u-****a-g,.**ii•
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION - 1 40.00
PERMIT TYPE FEE::: AMOUNT AMOUNT F'AID AMOUNT OWING
SEWER PERMIT .50.00 .00 50,00
50.00 .00 50,00
PROCESSED
PRINTED
BY:
BY:
DOMITROVICH, ROBIN
DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THF COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, FCT
CALL BEFORE YOU DIG (456--8000)
SEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
******•*** CALL. FOR INSPECTION PRIOR TO COVER **********-
**•******* 24 HOUR NOTICE REQUIRED **********
x•****iy*** 456-3604 **********
* t! y!- # ii- *+r yt * it # -i* A.• z ii- ii- * ii• * ii• N• r• ):• •'r• F• * * # ii• # # # THANK ti _. I„f # # # it # •k •it * * •h:• ie• # # #• # ii• # * * ii• •* k- # # •ii- ri- •ir * * * # .r. it