1991, 12-06 Permit App: 91008465 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 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= 91008.65 APPLICATION
DATE= 12/06/91 F'Ar;E=: 01
; 31*3<** T•i:ES IS NOT A PERMIT • •*3i 3e
PENALTIES WI:t_I... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET-: 12727 E C;UTF•ERI:E DR F'ARrE::E...4.= 27542•.•2929
ADDRESS= SPOKANE WA 99206
PERMIT USE== SEWER CONNECTION _.. HILLCREST (91__Ei24)
**3i SEE NOTE 3>:3e3i•
PLATO =: 001223 PLAT NAME= HILLCREST ACRES 2ND ADD
BLOCK;: 3 L.OT== 6 ZONE= Af:,,t11 j D.T.,'TO- F
AREA=
F:/A=: F WIDTH= DF::F`TH=
0 OF ni...DC;S== i 0 DWELLINGS= i WATER DIST =
OWNER= ,.1AC;KETTA, MICHAEL PHONE::::
STREET- 12727 E (:4UTHRIE DR
ADDRESS= SPOKANE WA 99206
CONTACT NAMw:::::: OHEC CONSTRUCTION PHONE: NUMBER= 509 44E 3010
BUILDING SE::TBA{::KA FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
ii3'•3i••>i •**3t3i***ai :*3ih 3cii3>ii*a**#x:31• SEWER F'E::RNI7*3i;iA3c***•3i*)'3':3c*••*•R•3iA*3i•»•.p•3i** •x•*3,
CONTRACTOR= OMEC CONSTRUCTION
STREET= RT i BOX E38
ADDRESS- is"F'r•tN(YI._E. WA 99031
PHONE= 509 448 3010
ITEM DE::SCRIPTION. QUANTITY FEE AMOUNT
PROCESSING; FEE 10.00
SEWER CONNECTION i 40,00
PERMIT TYPE:: FEE:: AMOUNT AMOUNT PAIN) AMOUNT OWING;
---
SEWER PERMIT 50 0 .00 50.00
PROCESSED BY:
PRisNTF::T) BY:
50.00 .00 0 50.00
DC)MITRoa:E CH, ROBIN
D0iiii:TROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAi:L.AT:BI...E AT THF:: COUNTY
UTILITIES DEPARTMENT (456-3604)
--. {:04)
CONTRACTOR OR APPLICANT IS TO Fi:EL.]) I...00ATF. AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.:
CALL... BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE •CHECKED PRIOR TO CONNECTION TO INSURE
THAT itil t ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*3i•*• hn•xb••• CAi_E... FOR INSPECTION PRIOR 'TOl COVER *A•x**•>'. *• *
3i•3i*3t•*3i*3i•* 24 HOUR NOT.F.Ci_REQUIRED•a••ii•�i•u�c�en•ii•is.•fi;
x******** 456-3604 ... * * * * 9{ •jl; •1{
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