1992, 03-02 Permit: 92001078 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 t to compilesaid 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= 92001078 ISSUED PERMIT
DATE= 03/02/92
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 12523 E GUTHRIE DR
ADDRE%%= %POKANE WA 99216
PERMIT USE= SEWER CONNECTION - HILLCRE%T
*** SEE NOTE ***
PLATO=
BLOCK=
AREA=
0 OF BLDG%=
OWNER=
STREET=
ADDRESS=
001222 PLAT NAME=
i LOT=
F/A=
0 DWELLINGS=
LIND%TROM BETH
12523 E GUTHRIE DR
%POKANE WA 992i6
CONTACT NAME= CO
BUILDING SETBACKS:
PARCEL 0= 27542-2534
(92%-i37)
AINE EXCAVATION
NT= N/A LEFT= N/A
***************************** %EWER PERMIT
CONTRACTOR= COURCHAICONSTRUCTION
%T1 16402 E VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DESCRIPTION
-------------------------
PROCESSING FEE
SEWER CONNECTION
******************************* PAYMENT
PAYMENT DATE
O3/O2/92
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
PROCE
PRIN7
~
RECEIPT�
369
.O0
FEE AMOUNT
50,00
50,00 -------------
5O.00
BY: DOMITROVICH, ROBIN
BY: DOHITROVICH, ROBIN
%EWER
UTILIT
PHONE NUMBER= 5O9 924 5485
RIGHT= N/A REAR= N/A
******************************
QUANTITY
--------
SUMMARY
PHONE= 509 924 5485
FEE AMOUNT
---------
iO.00
40,00
****************************
TOTAL PAID=
AMOUNT PAID
50,00
50,00 -----------
5O.0O
A% -BUILT INFORMATI
>EPARTMENT (456-36O
CONTRACTOR OR APPLICANT I%
ELEVATION AND POSITION OF
EXCAVATION
PAYMENT AMOUNT
50.00
50,00
AMOUNT
AMOUNT OWING
'------------
.00
' -
-----------
.00
N I% AVAILABLE AT THE COUNTY
FIELD LOCATE AND CONFIRM THE
ER %TUB
PRIOR TO ANY OTHER
TO LOCATE BURIED CABLES, GAS PIPING,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO
THAT THEY ARE CLEAR
********* CALL FOR
*********
WATER
INE%, ECT,
CONNECTION TO INSURE
THE SEWER MAIN
VER **********
**********
**********
******************************** THANK YOU *********************************