1992, 09-16 Permit: 92007694 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 perm it/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 l 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
OWNER OR AGENT
SIGNATURE OF � L—v APPLICATION //
�J 1 CZ-4-40-1,,y�'4/ ��� DATE r�(LfLy G (9
F'ROJEC; I NUMBER= 92007
-)e3f'3EA'3l'3E3l'R'3i*)'3i..*.1f.3i.3.31.31.31.:11'H'* 3*P.'3*3*3*3l'
ISSUED PERMIT !AT- 09/16/92PAGE=
PERMIT INFORMATION tt*af*r;uv:**
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SITE. STREET== 2614 S HOUK CT PARCEL I=: 45273=
ADDRESS=: SPOKANE WA 992i6
PERMIT (I,:t - SEWER CONNECTION -- HILI._CREST (92E-933)
k3'* ,`>i'E:; NOTE: 3i'.)'*
PLAT 00.1230
BLOCK
AREA= 000152
n. OF BLDGS=':
PLAT NAME=:
LOT'=
F:'A=:
DWELLING -
OWNER=
(dEi..I ..ItJC.5
OidiNE R'== r"it NF)NI...I), WILLIAM
STREET= 2614 S Hi:111< (::T
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TRIPLE
HILI._CRE::ST ACRES 7TH AOl`1
4 ZONE= SFR DIST;,:::=
F WIDTH= DEPTH=
rH=
1 WATER DIST
PHONE= 5 92?
PHONE NUMBER=
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RI HT= N/A REAR= N/A
ri' 3E 3G 3lh: 3E * Ji' 3i.:1fIt' 3+df'Y. * 3;..3i * '$ 3k # dE 3E N3 3(iii 36 3E
3i
EWER PFR -ii:
CONTRACTOR= 'TRIE'I_.E S CONTRACTING
STREET= i i 3) E BROADWAY AVE
ADDRESS== SPOKANE WA 99206
1TE: 1 DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
-" !l" !l''lE 3r 3E 3f' 9i 3k******* **.* 3i 3f 3
PHONE= 509 927 6256
q;iANT]: i T FEE AMOUNT
10,00
40,00
3i' 3E iE *3* * * * 3i'ri..li.* * * * * iE 3k # * * if 3E aPAYMENT ..Hil'I :.. .1 _i•'IIiHI'ST 'tt'3i'3i'3E'h"Pi 3l'T'3l''tt'Att'3i'3ftt'A'A"P%3l'
i=r'i'(MENT DATE RECEIPT:1: PAYMENT AMOUNT
09/16/92 7721 50.06
TOTAL_ DUE== ,00 TOTAL PAID= 50,010
PERMIT TYPE FEE AMOUNT AMOUNT PAIP AMOUNT OWING
-,':.,SPI
SEWER PERMIT ?l/ 50
. Vll
5000 ,00
U
50,00 50,00 •00
'CE:SSE:.D BY: DUM]:TR(:)'v':i.Cii, ROBIN
PRINTED BY : DOMT TRiO'V ICH, ROB1N
SEWER STUB AS -BUILT .INFORMA11ON IS AVAILABLE AT THE: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR AP'E'L..:F.CANI ]:S TO Fi:El...l) LOCATE AND CONFIRM T'I-U:
f:.t t.*1T I:(:It' AND POSITION OF SEWER UB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE: 13iURIE::D CAM L_FF:S, GAS PIPING, WATER i...INE:S, ECT.
CALL BEFORE YOU DIG
R STUBS ARE TO BE Ci-IF(KI:CD PRi:i:1R TO CONNECTION TO INSURE
THEY r"tl-:i::. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
... . iPRIOR
...... .
rt le 3e 3i�n CALL I"(.)'•, INSPECTION !.. i.., ._i.l p;. 1. COVER pr:.p: 3f.3r.k.3f Kx. * ;r
y.. ii'3; ei'*3i' 24 HOUR NOTICE REWIRED ******KK**
;r
"*K0* 456-3cJ 0+ij X*********
3k 3i: 3a31.# 3:
3i 343E 3E JE 3E 3E 36 iE 3E 3•i 38'n: eE31 ri 3F aE 3E#3E>4
THANK i!*3E *3E3: iE 3E tEc
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