1992, 06-04 Permit: 92003362 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 *0 proceed withpro"o"u In addit/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 DnAGENT DATE
PROJECT NUMBER= 92003362
ISSUED PERMIT DATE= 86/04/.12 PAGE= e1
«*******«*««*»p*«*********** PERMIT INFORMATION ******A.*********************
SITE STREET= 13123 E GUTHRIE DP PAKC[L0= 27544-153i
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION H[LLCKE%T (92S-453)
*** SEE NOTE ***
cL/TT:= 001227 PLAT NAME= HILLC� %I A�r% 2ND ��G
GLDcR- ln o - * ���[= ��� V�JT��
AREA= 88800088 F/A= F WIDTH= 75 DEPTH= 124 R/W=
0 OF GLDG%= i DWELLINGS= i WATER DIST
OWNER= %PIDELL/ MERPILL K.
STREET= 13123 E GUTHKIE DR
ADDRESS= SPOKANE WA 99216
PHONE= 509 924 »4'A
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 :226 0964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHTr N/A REARfl N/A
****«**«**x»»*x*it************ SEWER ;CPMIT p*px*****xvxx*xxx****xx*«*«***
CONTRACTOR= H C CONSTRUCTION
STREET= 1i3i7 E VALL[YWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 3964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--- ------------------ ' --------
PROCESSING FEE FEE Y 10.88
SEWER CONNECTION 48,88
******************************« PAYMENT SUMMARY ***************«*«*««******«
PAYMENT DATE KE[E]PT4 PAYMENT AMOUNT
06/04/924i07 50^00
----- '--' -
TOTAL 0V[= ,00 TOTAL PAID= 50.88
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
----'--------- -------'---- -----------
SEWER PERMIT PERMIT 50'60 50.00 ^00
--------'---- ----------- -' -''-------
58'86 50.08
PROCESSED BY: DOnITROVICH, ROBIN
PRINTED BY: DOhITRO»ICU/ ROBIN
SEWER .ilU8 AS -BUILT INFORMATION IE AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-7�84)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION 0F SEWER %T;8 ERlOK TO ANY OTHER
EXCAVATION
70 LOCATE BURIED CABLES, GAS FIRING, WATER LINES, ECT.
CALL BEFORE YOU DIG �45.-8nO)
SEWER STUBS ARE TO 8E CHECKED PRIOR 18 CONNECTION 7O IOJUkE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAI;
*»**«»»** CALL FOR INSPECTION PRIOR TO COVER **********
**vx***** 24 ��||R NOTICE REQUIRED **********
»x*«x)V**4;. 456-3604 **«******
******************«******:..:****** 7H'�N; YOU *******x*****x*+**v*,ii+)»xY*ex****