1992, 04-17 Permit: 92002607 Sewer _
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. BROADWAY1�Q3AVENUE
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 mvoeu withnmvossmu In additionI have reaand 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 UMAPPLICATION DATE= 04/17/92 PAGs,E= 01
****** THIS I% NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
------------------------------------------------------------------------ --- -
%ITE STREET= 12417 E 20TH AVE PARCEL4= 27542-2i28
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — AILLCRE%T (92%-364 )
*** SEL NOTE ***
PLAT4= 001222 PLAT NAME= HILLCRE%T ACRES i %T ADD
BLOCK= i LOT= 12 ZONE= AG%UB DI%T4=
AREA= 00011875 F/A= F WIDTH= 95 DEPTH= 125 R/W=
i OF 4 DWELLINGS= i WATER DIST
OWNER= ANDREW% , WESLEY W PHONE=
STREET= 12417 E 20TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 896*
BUILDING', SETBACKS : FRONT= N/A LEFT= N/A N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONRACTOR= H & % CONSTRUCTION PHONE= 509 926 0964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION •1. ... ........ .........UNT
------------------------- -------- ----------
PROCESSING FEE Y 10 . 80
%EWE� CONNECTION i 40 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50 .00 .00 50.00
------------- ------------ -------------
50 . 00 . GO 50 . 00
PROCESSED BY : DGMITROVICH , ROBIN
PRINTED BY : DOMITROVICH , ROBIN
EWER %TUB A%—BUILT INFGRriATION I% AV�ILAF.;LE AT TCOUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CGNFIRM TH:7
LEVATION AND �O%ITION GF %EWE� %TUB PRIO� TG ANY OT�F�
EXCAVATION
TO LOCATE BURIED CABESGAS �IPIN� ' WATE� LINE% , FCT .
CALL BEFORE YOU DIG �45�-8OOO >
SEWER STUBS ARE TO BE CHEC D PRIOR TG CGNNECT�ON
THAT THEY ARE CLEAR ANDUNOBSTRUCTED T� THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **** *****
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************