1992, 06-04 Permit: 92002255 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
permit/application,/certify that / have examined this vtutomvtmomm,munonvonmmoumusubmitted agent permit/application true
and correct,andauthorizea x County m proceed with processing. In addition / have reaand 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= 92002255
I%%UED PERMIT T= 06/04/92
**************************** PERMIT INFORMATION ****************************
%ITE ET --
ADD SPOKANE WA
` 12704 E GUT'
� DR
6
P :1::= 27542-27O6
PERMIT USE= SEWER CONNECTION HILLCRE%T (92%-317)
*** SEE NOTE ***
PLATO= 00i222
B|
0 OF BLD
PLAT NAME= HILLCRE%T
LOT=
:/A= F
i DWELLING%=
OWNER= BERGHAMM/
P -ET= 12704 E GU
DRE%%= %POKANE WA
CONTACT NAME= H & % CON%TRUCTION
BUILDING
%ETBACK%: FRONT= N/A
LEFT=
PHONE=
PHONE NUMBER= 509 926 8964
N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT
CONTRACT('
%T
ADD
= H & % CON%TRU(
i8i7E VAL.
�ruxont
ITEM DESCRIPTION
PROCE%%ING FEE
%EWER CONNECTION
AVE
******************************* PAYMENT
PAYMENT DATE
06/O4/92
TOTAL DUE=
PERMIT TYPE
-----------
SEWER PERMIT
PERMIT
PROCE
PRI
RECEIPTO
4.107
0O
FEE AMOUNT
50,00
L.
-------------
58.00
BY:DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
CONTRACTO
ELEVAT'GN
EXCAVA�IO
TO LOCA
CALL BE
/noI
*********
*********
*********
A% -BUILT INF
DEPARTMENT (4
******************************
QUANTITY
--------
Y
SUMMARY
PHONE= 509 926 8964
FEE AMOUNl
10,00
4O.�O
****************************
TOTAL PAID=
AMOUNT PAID
50.00
50,00 -----------
5O.00
PAYMENT AMOUNT
50,00
50,00
LIN
AMOUNT OWIN�
'
ATION I% AVAILABLE AT THE CGoNTY
36O4)
R OR APPLICANT I% TO
AND PO%ITION OF SEWER
LOCATE AND CONFIRM THE
PRIOR TO ANY OTHER
BURIED
CABLES,GAS PIPING, WATER LINES, ECT,
YOU DIG (45-8000)
TOIN%URE
MAIN
**********
**********
**********
******************************** THANK YOU *********************************