1991, 11-18 Permit App: 91007920 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= 91007920
APPLICATION
DATE= 11/18/91 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIES WI:1...1... BE: ASSESSED FOR COMMENCING WORK WITHOUT ft PERMIT
SITE STREET= 1812 S FINES RD P'ARCEI...T= 28541-0202
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — HILLCREST (91--S44)
*** SEE NOTE ***
F'L.AT;= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= AGSUB DISTt= C;
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 140 R/W=
OF BLDGS= 4 DWELLINGS= WATER DISI"
OWNER= STANLEY, CLARK
STREET= 1812 S PINES RD
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***r:************************* ,"a EWER PERMIT **********•***** :* s:R*k* **** t
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
PHONE::: 509 926 8964
QUANTITY FEE: AMOUNT
Y 10.,00
SEWER CONNECTION i
PERMIT TYPE FEE AMOUNT AMOUNT PAID
SEWE:R PERMIT 50.00 .00
50.00 .00
PROCESSED
PRINTED
BY:
BY:
DOMITROVICH, ROBIN
DOMITROVICH, ROBIN
40.00
AMOUNT OWING
-------------
5000
50..00
SEWER STUB AS --BUILT 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 i..INES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TC) CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*•******** CALL. FOR INSPECTION PRIOR TO COVER *•*********
********* 24 HOUR NOTICE REQUIRED *******4**
* ******** 456-3604 * :******-**
****fl'***********'*****'F:**•******** THANK YOU*****ll**.**..h..X*..N.;..y...*.p:..*..p..:.:k***..)t.X......*.h.*.