1991, 11-20 Permit: 91007424 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 pmmvanpnvanvn/etmo
and correct, and authorize Spokane County to eem withnmooaomo In addition1 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 oRAGENT DATE
PROJECT NUMBER= 9i007424
I%%UED PERMIT DATE= i1/20/91 PAGE= 01
**************************** PERMIT INFORMATION ***************************
SITE STREET= 12714 E GUTHRIE DR PARCEL4= 27542-2703
ADDRESS= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - HILLCRE%T •
*** SEE NOTE ***
PLAT4= 00i223 PLAT NAME= HILLCRE%T ACRES 241)
BLOCK= i LOT= 3 ZONE= A�%UB D
^~-^ -'^ - ''-~-'' ~
AREA= r/o= r WIDTH=
0 OF BLDG%= i 0 DWELLING%= i WATER DIET
OWNER= PETER%ON ETAL, M PHONE=
STREET=
ADDRE%%= JPOKANE WA 99206
NTACT NAME= RON %LGAN
DIN� ETBACK%, FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
=
/n=
PHONE NUMBER= 5O9 922 S5OO
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAY% ACTIVE
%TREET= PO BOX 14i562
ADDRE%%= %POKANE WA 99214
ITEM DESCRIPTION
--------------
PROCEING FEE
SEWER CONNECTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT
--------
----------
10,00
40,00
****************************** PAYMENT %UMMARY ****************************
PAYMENT DATE
ii/2O/9i
TOTAL DUE=
RECEIPT4
8845
.00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID
--------------- -------------
EEWER PERMIT PERMIT 50.00 50.00
-------------
50,00 50,00
5O.00
PROCE%%ED BY: DOMITROVICH, RG3IN
PRINTED BY: DOMITROVICH. IN
PAYMENT AMOUNT
AMOUNT OWING
-------------
%EWER STUB A% -BUILT INFORMATION I% AVAILABLE AT THE �GUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELI
ELEVATION AND PO%ITION OF %EWER STUB
EXCAVATION
'4TE AND
[OR TO
FI�M THE
OTHER
TO LOCATE BURIED CABLE% GAS PIPINGWATER LINEECT
CALL BEFORE YOU DIG (451-8000) ' ^
%EWER %TUB% ARE TO
THAT THEY ARE CLEAR
___ ��
******** cHLL
*********
*********
HOUF
456-36O4
PRI
G CONNECTION TO IN%URE
TO THE %t R MAIN
TO COVER *********if:
**.Y... *Y.
**********
******************************** THANK YOU *********************************