1992, 01-10 Permit: 92000186 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1363 -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, 1 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
giveauthority to violate or can he provisions of any state or local law regulating construction, or as a warranty of conf ormance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER=: 92000186
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APPLICATION
DATE
ISSUED PERMIT DATE= 01/10/92 F:ACii::=: 01
3i PERMIT INFORMATION *
SITE E S'TREEET'= 1719 E PINES RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — HILLCREST
**3i SEE NOTE. >i.*+i.
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PARCE L_O= 27542-1143
(921-12)
PLAT := 001220 PLAT NAME = HILL_CRF:EST PARK ADD
BLOCK= 5 LOT= 9 ZONE= LIF .3.5 DIST:4==
AREA= F/A=:: WIDTH= DEPTH=
:ii OF BLDG'S= DWELLINGS= i WATER DIST =_
r
R/W=:
OWNER= DANIEL, .DAVID PHONE=
STREET= 1719 PINES Id)
ADDRESS= SPOT -ANE:: WA 99206
CONTACT NAME= DANIEL, DAVID PHONE NUMBER= 509 924 1710
BUILDING SETBACKS: FRONT= N/A I..I::.11 N/A RIGHT N/A REAR=: N/A
*3iii..h..ii..ii..)iiiii#ii*di.ii.*q@.ji..ji.3..3iifl..*3*fi*#3* SEWER PFi IT m
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CONTRACTOR= OWNER.
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
****************X**************
PHONE=
QUANTITY FEE AMOUNT
Y in.00
40.00
PAYMENT SUMMARY 3i*.;i.:att**ri..tt..********ti
PAYMENT DATE RECEIPT -4
01/10/92 0212
TOTAL DUE== .00 TOTAL PAID:::
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID
SEWER PERMIT 50.00 50.00
50.017 50,00
PROCESSED
PRINTED
BY:
BY:
DOMITiO'VICH, ROBIN
DOMITROVI:CI-I, ROBIN
PAYMENT AMOUNT
50.100
510.00
AMOUNT OWING
00
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE Al THE COUNTY
LiTIL_I T 1FS DEPARTMENT (456-36014)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION VATIOI AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE. YOU DIG (456-3000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
,.,,
di��i+)3t�ii�3i�3r 3e ii�u� CALL FOR 7. iUSPE:'r:'T':I'O_N PRi i_1 Ei �_) COVER 3t 3iIi�3i di.3i.9i..ii. di. di.
3ir4i.:tt..ri.ii.di** 24 HOUR NOTICE ON
REQUIRED )tat , 3eh)t3638
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***************0
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t THANK YOU 3i3iM)@ie
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