1992, 04-10 Permit: 92001893 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 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. 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= 9200/893
ISSUED PERMIT DATE= 04/10/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2iii S PINES RD PARCEL4= 27542--2246
ADDRESS= SPOKANE WA 99206
PERMIT LJSE= SEWER CONNECTION - HIL.L.CREST (92E-265)
*** SEE NOTE ***
PLATO= 001 222 PLAT NAME= HIL..I...CREST ACRES 1ST ADI)
BLOCK= 3 LOT= ZONE== AGSUB DISH== F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= BERG, CLARENCE
STREET= 2iii 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
h.*..*************************** SEWER PERMIT****..h..****.h.***h******..h.h.h.:*******
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
****************************** PAYMENT SUMMARY ***********h****************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/10/92 2555 50.00
TOTAL DUE= .00 TOTAL.. PAID= 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50,00 .00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (454-3604)
CONTRACTOR OR APPLICANT IS TC) 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
********* CAI -.l_ FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456--3404 **********
******************************** THANK YOU *********************************