1992, 09-28 Permit: 92008141 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 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 l 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 APPLICATION
OWNER OR AGENT �N ( Q/V1- DATE
PROJECT NUMBER== 92008141
'n:ie****X
ISSUED PERMIT DATE= 09/28/92 PAGE= 01
PERMIT INFORMATION *)k)(***
SITE STREET= 13108 E GLJTHRIE DR
ADDRESS= SPOKANE WA 99216
iik*** 3e i('****)('*
PARCEL.::= 45274.4 403
PERMIT USE= SEWER CONNECTION — HILLCREST (92E--976)
*** SEE NOTE )1'11')1'
PLATO= 001223 PLAT NAME= HILI...CREST ACRES 2ND ADD
BLOCK= 9 LOT= 3 ZONE= SFR DIST;'= F
AREA= 00000000 F/ A= F' WIDTH= DEPTH= R/W::= 60
4 O BLDGS:= 1 0 DWELLINGS= 1 WATER DIST =
OWNER= HINSFHAW, BOB
STREET= 13108 E GUTHRIE DR
ADDRESS= SPOKANE WA 99246
PHONE= 509 927 0256
CONTACT NAME= TRIPLE S PHONE NUMBER= 509 927 8256
BUILDING SETBACKS: FRONT= N/A LEFT== N/A RIGHT= N/A REAR= N/A
('*'tc.*.*..#.*. (..*..M..tt..) **************** SEWER PERMIT a('a('iiiux****a(.;e*..h..h.*.*;
CONTRACTOR= TRIPLE S CONTRACTING
STREET= 11322 E BROADWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 927 8256
QUANTITY FEE.. AMOUNT
Y
10.00
1
40.00
j1**************'A'**********'A'**** PAYMENT SUMMARY iI'il')('***R'*****.*.*.***3(...A'Yl'iF')t'HA**
. PAYMENT DATE RECEIPT; PAYMENT AMOUNT
09/28/92 8256 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 .t00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTEI) BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE: YOU DIG (456--810010)
SEWER STUBS ARE:: TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARL CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
a e*i1*ii**** CALL FOR INSPECTION PRIOR TO COVER #.#.**.*.**.**.*.
*****'re*** 24 HOUR NOTICE REQUIRED #ri**#**ai*at
'Mnn11a'i1i1** 456-3604 ***_*')<'*;E*')E*
****************************Rif** THANK YOU*****************************'A***