1992, 02-28 Permit: 92000045 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99360
(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 authorizen County to proceed with processing. In addition, I have read u understandum /wnpsoTmwnsuu/neMswroxvoT/cs
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 0nAGENT DATE
PROJECT NUMBER= 92000045 :ISSUED PERMIT DATF= O2/28/92 PAGE= Oi
** **** ** *** *********** PERMIT INFORMATION ****************************
%ITE :STREET= 12221 E i9TH AVE 1::'ARCEL41:= 2854i -0205
ADDRESS= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - HILLCRE%T (92%-4)
*** SEE NOTE ***
PLAT0= 00i22i PLAT NAME= HILLCRE%T PARK i %T ADD.
BLOCK= 2 LOT= 5 ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DI„-,T =
OWNER= LEPARD JAMES PHONE=
%TREET= 12221 E 19TH AVE
ADDRESS= %POKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE - RON %LOANPHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PH8NE= 5O9 922 8500
%TREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATF RECEIPTO PAYMENT AMOUNT
02/28/92 1309 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50:00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER HERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 5O.0O .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION GF SEWER STUB PRIOR TO ANY OTHER
EKCAVATION
TO LOCATE BURIED CABLE% . GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DI� ( 45�-8O0O)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
************************* ***** THANK YOU *********************************