1992, 06-04 Permit: 92002607 Sewer SPOKANE 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 authorizeavoxanoco nty to proceed with processing. In additionI 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= 920O2607 ISSUED PERMIT DATE= 06/04/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12417 E 20TH AVE PAR = 27542-2i28
ADDRESS= SPOKANE WA 99216
PERMIT U%E= %EWER CONNECTION - HILLCRE%T (92%-364 )
*** SEE NOTE * *
PLATO= 001222 PLAT NAME= HILLCRE%T ACRES 1ST ADD
BLOCK= i LOT= 12 ZONE= AGJUB DI%T4=
AREA= 000i1875 F/A= F WIDTH= 95 DEPTH= 125 R/W=
4 OF BLDG%= 4 DWELLING%= i WATER DI%T
= W , E L W PHONE=
%TREET= 12417 E 2OTH AVE
ADDRE%%= SPOKANE WA 992.16
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 1i817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------- �
PROCESSING FEE Y O .00
%EWER CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/04/92 4187 50.00
. ------------
TOTAL DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
� ------------- ------------ -------------
50.00 5O.00 .00
PROCESSED BY : DGMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
T R OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION
AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
��
EXCAV" / ION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINE%, ECT.
CALL BEFORE YOU DIG (456-8000)
%EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOB%T UC ED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************