1992, 09-28 Permit: 92008139 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/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 construction.
OWNER OR AGENT 9
OF\„✓r� DATE
SIONATURE APPLICATION
PROJECT NUMBER= 92008139
###')t'##')t#####'#########
ISSLIE:D PERMIT DATE= 09/2`/92 PAGE= 01
##### PERMIT INFORMATION ####
SITE: STREET= 13109 E GLITHRIE DR PARCEL= 45274.1510
ADDRESS= SPOKANE WA 99216
PERMIT USE-:= SEWER CONNECTION -- HILLCREST (92S-975)
### SEE NOTE ##'#
PLATO= 001223 PLAT NAME= HILLCREST ACRES 2ND ADE)
BLOCK= 10 LOT= 15 ZONE= SFR DISH= F
AREA= 00000000 F/A== F WIDTH= DEPTH= R/W= 60
r OF BL..DG5 - i i DWELLINGS= F.iNGS-= i WATER DIST =
OWNER= MC REAK , GREi:TA
STREET= 13109 E GUTHRI:E. DR
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= TRIPLE S PHONE NUMBER= 509 927 8256
BUILDING SETBACKS: FRONT = N/A LEFT N/A RIGHT= N/A REAR N/A
c'#'3i'ii'3t-tt'#.u'3.#.x*)f'#.n..x'.x'#.x.###.x'#####rc' SEt4E:R PERMIT###ii'k'ii#.ii'#ii'.k'ii'ii..ii'ii'.ik.k'#t.:tf'#idiri'i"'ti'ii)i'
CONTRACTOR= TRIPLE Si 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
i 40.00
PAYMENT SUMMARY
PAYMENT DATE RECE.IPTO 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 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTI.LITI.ES 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.
C:AI...I.. BEFORE. YOU DIG (.456....8000)
SEWER .STUBS ARE:: TO BE CHE:CKEED PRIOR TO CONNECTION TO INSURE
11-IA'T' THEY ARE CLEAR AND UNOBSTRUCTED TO IHE ,SEWER MAIN
#at'rc'ai*'**** CAI...L.. FOR INSPECTION PRIOR TO COVER 'Ah'##*31)'.H')l)t'
#H'iF##di'di'ditt' 24 HOUR NOTICE REQUIRED ##')P3'3*3*1E##'h
#Il$'#*#*)l'# 456-3604 X*********
YOU
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