1989, 11-14 Permit: 89004115 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE .
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined thls permit and state that the Information contained in It and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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 RATE
PROJECT 'UMBER= 89004115 DATE::: 11/14/89 PAGE= 01
ISSUED PERMIT
-(-e3(-113}# 3k**31*****.X.**** 3(— ie 363E 3.13634 •* PERMIT INFORMAT(nN:**ib.ri..-i**143x#*tt.i[..rt.h....iF •k* -it :h..rt?6.h. dF �'..h
SITE STREET== 12611 E HOIJK RD PARCEL.;1: )7542—:09(7
ADDRESS= SPOKANE WA 992'16
PERMIT USE= SEWER CONNEC:TTON 88 01
*** .SEE. NOTE 3i.**
PLATO= 001220 PI Al NAME= HIL.LCREST PARK ADD
BLOCK= i . LOT= 7 ZONE= AGenR nT.ST4=
AREA= 00000000 F/A= E WIDTH== 50 DEPTH= 140 R/IJ=
OF BLDGS= DWELLINGS= i
OWNER== HUDSON, ,r.;L..ARf::NCE::
STREET=1 2611 E 1-1(1111< Rn
ADDRESS= SPOKANE: WA 99216
PHONE=
CONTACT NAME= LEONARD -- I-1 & S • PHONE NUMBER= S09 976 RR%A4
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
* 31.3i. 31..* * 34 **.k..;;.h..*..tt..*..tt. 34 34 P; tt..k.*.a..n. 31.31.k..lh 31. SEWER PE.RMIT * 34 34.*..*..tt..u..*..x..k.*..y;..tt..*.;;..A..t(..*..x..h..u..*..*..h;*.k..*..h..u..h.
CONTRACTOR:::: H & S CONSTRUCTION
STREET= 11817 E VAL..L-E::YWA'Y AVE:
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEF
SEWER CONNECTION'
PHONE= 509 926 0964
QUANTITY FEE AMOUNT
Y i 0
1 40,00
***-x----* .k..p: *..y..u..a..p..*.k..y..p..h. *. *..*.ri. * 31..k..tt..u. *..x. PAYMENT SUMMARY h * * 34 li..h..*..-.h: 3r * *:a: --..-.h:- 3t * h:? 3( bi -- k- 3E * 3(?
PAYMENT DATE RECETPTO PAYMENT AMOUNT
11/14/09 5683 50,00
TtliAL DUE:::: ,013 TOTAL. PI;10= 50;00
PERMIT TYPE FEE AMnJJNT AMOUNT PAID AMnIJNT OWING
.SEWER PERMIT 50.00 50.00 .00
50,00 50,00 0 0
PROCESSED BY: JULIE S'HATTO
PRINTED r Y : ,.JLIL.IE:: SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
C:ONTR:Af:TOR Ofi APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
1::1..rl f"IT:ECiN.AND POSITION CU:-.:'EHER STUB rRl:oI:2 TO ANY OTHER
EXCAVATION
TO LOCATE F:URIF::TD CABLES, GAS PIPING, WATER LINES, FCY,
CALL BEFORE YOU DIG (456-8000)
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in It and submitted by me or my agent to compile said permit Is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with name. 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 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 BATE
PPO..JEC"i NUMBER= 8'9004115
DATE::: 11/14/09
ISSUED PERMIT
PAAGE=:. 02
SEWER STUBS ARE. TO r -IE CHECKED PRIOR TO CONNECTTrIN To TN.sURF
THAT THEY i E Y
3F 3f i:'* 3F# 3i' 3i'#
* 3i1i 3i** 3r* 3i'
'lf*3F3t3***P}3l'3l'
ARE CLEAR AND UN(')flSTR.If TED- "10 THE SEWER MAIN
CALL FOR INSPECTION PRTnR TO C0VER 3i'#3r3i'3Eku1'ii'#
24 HOUR NOTICE REQUIRED #4'!31:4**h:3 ;+*—n:
456-3604 3e * 3F * lE * * 3E # *
•
'*13{.3i'ii' 313'"u"U:3t'ii..*.U:h.h:A'*3t'.*.k-1*3*1:'1f 11'X'34# 3i 3- liµ' THANK Vol.! :*3i'h:1*3*3i'33i..*3i..k.*3(.31*1*.3.3a .){.3i'1i'#1i'it3{