1992, 07-27 Permit: 92005762 Sewer - - -
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
13o1 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oom,vmut/hu,oexummoom/o»mmwu»p/mouon.ntutomuuh^mm,mxnonoontum^umnanuou»mntouuvmoonnvagentmvomnnooumn rmit/application is true
and correct, and authorize Sokane Conty to proceed with vmvooumn 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 7t).4,.,4e:„.• APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92005762 ISSUED PERMIT
**************************** PERMIT INFGRMATION ****************************
SITE STREET= i222O E i9TH AVE 452Gi . 60i
ADDRE�%= %POKANE WA �92O6
PERMIT USE= SEWER CONNECTION - HILLCRE%T ( 92%-755 )
*** SEE NOTE * *
PLAT4= 001221 PLAT NAME= HILLCRE%T PARK 1ST ADD .
BLOCK= 6 LOT= i ZONE= UR-3 .5 DI%T4=
AREA= 00013000 F/A= F WIDTH= DEPTH= R/�=
,;1, OF i WATER DIST =
OWNER= �I�TZ , MICHAEL
PHONE= 509 926 O797
%TREET= i2220 E 19TH AVE
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= MIKE CIRTZ PHONE NUMBER-
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
**** ************** ** ***** %EWER PERMIT *********«****«*«**«*«********
CONTRACTOR= JACK HAWKIN% EXCAVATING PH;NF= 509 924 9025
%TREET= 9722 E NORA AVE
ADDRESS- SPOKANE WA 99206-0000
ITEM DEsCRIPTION QUANTITY FFE AMOUNT
------------------------- -------- ---------
PROCESSING FEE Y iO . 00
SEWER CONNECTION i 4O . 00
******************************* PAYMENT %i}MMARY *******************«*****« **
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/27/92 R5762 5O . 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%E�ER PEHMIT 50 . 00 50 .00 . 00
------------- ------------
50 , 00 50 ,00 5O .00 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITRGVICH , ROBIN
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COU��Y
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFT.RM THF
ELE�ATIGN AND PO%ITION OF %EWE� %�UB �RIO� TG ANY OTHF�
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , FCT .
CALL BEFORE YOU DIG ( 45.,- 0O0)
�EWER �TU�� ARE TO BE CHECKED PRIOR TO CO�NECTICN �0 IN�!]�E
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE :.:.:EWER MAIN
* *** ** CALL FOR INSPECTION PRIOR TO COVER *******»**
********* 24 HOUR NOTICE REMUIRED **********
********* 456-3604 ********«*
*************«****************** THANK YOU ******************************* **