1992, 05-04 Permit: 92003063 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAYAVGNUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted uv me or my agent to x 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 or,�' �
-_��, �^��
ovvwsRoRAGENT �-^w''�-e - . � `~---�-~--~~u
DATE
APPLICATION c
PROJECT NUMBER= 92003063 - DATE= 05/04/92
**************************** PERMIT INFORMATION ***************************
SITE STREET= DR PARCEL4= 27542-2465
ADD
PERMIT USE= SEWER CONNECTION - HILLCRE%T
*** SEE NOTE ***
PLAT4= 001222 PLAT NAME= HILLCRE%T ACRE% i%T ADD
BLGCK= i LOT= ZONE= AG%;B DI%T4=
AREA= F/A= F WIDTH= DEPTH=
OF BLDG%= i 4 DWELLINGS= i WATER DIET =
.lt
OWNER= WALTON CARL M.
%TREET=
12702 E GUTHRIE DR
ADDRESS= SPOKANE WA 99216
PHONE= 5O9 926 8595
S/W= 60
CONTACT NAME= CARL M, WALTON PHONE NUMBER= 509 926 8595
BUILDING %ETBACK%: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY **************************
PAYMENT DATE RECEIPT -4 PAYMENT AMOUNT
05/04/92 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROOF-. %ED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT HE COUW
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD
ELEVATION AND POSITION OF SEWER %TU
EXCAVATION
TO LOCATE
CALL BEFOF
TE AND CONFIRM THE
O� TO ANY OTHER
CABLES: GAS PIPING, WATER LINE%, ECT.
IC
%E!' ARE TO
THAT THEY ARE
********* CALL
******** 24
*********
TO INSURE
MAIN
TO COVER **********
*********
**********
***K*************************** THANK YOU *********************************