1991, 11-27 Permit App: 91008247 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99280
(509) 456-3675
I certify that I have examined this permit/application, state that the information / d in it and submitted»v me or my agent to o 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 OF
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 91008247
DATE= 11/27/91 PAGE= Oi
****** THIS IS NOTA PERMIT ****** •
PENALTIES WILL BE A%JE%%ED FOR COMMENCING WORK WITHOUTA PERMIT
.
SITE STREET= 12722 E GUT�
ADDRESS= SPOK(:NE WA .
DR
PARCEL4= 27542-2704
PERMIT U%E= EWER CONNECTION - HILLCRE%T (91-%9)
*** EEL NOTE ***
PLAT4= OO1223 PLAT .NAME= HILLCRE%T ACRES 2ND ADD
BLOCK= i LOT= 4 ZONE= AG%UB DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W= 50
OF BLDG%= i• DWELLING%= i WATER DIST =
OWNER= BELL� BRUCE PHONE=
STREET= 1272?. E GUTHRIE DR
ADDRE%%= %POKANE WA 992O6
CONTACT NAME= OMEC CONSTRUCTION • PHONE NUMBER= 509 448 3010
BUILDING %ETBACK%: FRONT= N/A LEFT- N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= OMEC CONSTRUCTION
STREET=.RT i BOX 88
ADDRESS= EPAN�LE WA 99031
PHONE= 509 448 3010
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
----------'' ---- ----------
PROCE%%ING FEE Y i0.00
SEWER CONNECTION i 40.00
PERMIT TYPE
---------------
%EWER PERMIT
PRO_E�
PRIk
FEE AMOUNT
-------------
5O.00
-------------
50.00
AMOUNT PAID
.00
AMOUNT OWING
-------------
50.00
-''-------
) BY: D8MITROVICH, ROBIN
) BY: DOMITROVICH, ROBIN
.SEWER STUB A%_B.ILT• INFORMATION IS AVAILABLE AT THE COUNT;
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TG ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%, CAE PIPING,
IPING' WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
%EWER %TUB RE T � T C ECTION TO IN%URE
THAT THEYARE CLE AN B%T CTED TO T�E JEWER MAIN
********* CALL FOR]�N%PECTIONC��ER **********
********* 24 HOUR NOTICE REQUI�FD **********
********* 456-36O4 **********
******************************** THANK YOU *********************************