1992, 03-05 Permit App: 92001279 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 taw 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= 9001 79
APPLICATION :DATE= 03/05/92 PAGE= Oi
****** THIS IS NOT A PERMIT **•*•***
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1623 S PINES RD PARCEL4= 27542--1033
ADDRESS= SPOKANE:: WA 99206
PERMIT USE= SEWER CONNECTION -- HII_LCREST (92E-156)
*** SEE NOTE ***
PLATt= 001220 FLAT NAME= HILL.CR:ES'T PARK ADD
BLOCK= 4 LOT= 304 ZONE= AGSUB DISTT= F
AREA= 00009000 F/A= F WIDTH= 90 DEPTH= 100 R/W=
. OF BLDGS= 4 DWELLINGS= WATER DIST =
OWNER= L-OWEL_L, MICHELLE PHONE= 509 926 6144
STREET= 1623 S FINES RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TOM STONE EXCAVATION PHONE NUMBER= 509 928 7710
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR== N/A
***************************** SEWER PERMIT ***•*• ****x•*•x•******************
CONTRACTOR= TOM STONE EXCAVATING
STREET= PO BOX 14154
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PHONE= 509 928 7710
QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
SEWER PERMIT 50.00 .00 50.00
50.0 0 .00 50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS--BUIL.T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
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 THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL. FOR INSPECTION PRIOR TC) COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456--3604 **********
******************************** THANK YOU *********************************