1991, 10-02 Permit: 91005128 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 correcand authorize Skam County to proceed with processing. In addition, I have read u understandt»o /mapsoTmwnsou/nswswTu/NoT/os
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= 91005128 ISSUED PERMIT DATE= 10/02/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i2716 E 24TH AVE PARCELO= 27543-0202
ADDRESS= SPOKANE WA 99216
PERMIT USE- SEWER CONNECTION / HILLCRE%T 2ND ADD
*** SEE NOTE ***
PLATO= 801223 PLAT NAME= HILLCRE%T ACRES 2ND ADD
BLOCK= 5 LOT= 2 ZONE= UR 3. 5 DI%TO=
AREA= F/A= WIDTH= DEPTH= R/W= 60
4 OF BLDG%= i 0 DWELLINGS= i WATER DIET =
OWNER= TRZECIAK GERI PHONE= 509 922 3161
STREET= .12716 E 24TH AVE
ADDRESS= SPOKANE WA 992.16
CONTACT NAME= %IMP%ON %ANITITION PHONE NUMBER= 509 926 4781
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= %IMP%ON SANITATION PHONE= 509 926 4781
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/02/91 7230 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 5O.0O
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 .00 .00
------------ ------------50 ,00 50 ,00 5O .00 .00
PROCESSED BY : JOHN LAR%ON
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (46-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%� GA% PIPING' WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE HEC ED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %TRU ED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
************** ***** *********** THANK YOU *********************************
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 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.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
}.t_(, NUMBER=
?"!'',i_._!..... ,•. ! a. ...iti:::: APPLICATION DATE= 08r;}1 _;91 f^'ACrE:. 01
*.yr•it te'** THIS:S. } ;. NOT} •s!"? t v?ii N iE?i�e
FOR COMMENCING
PENALTIES WILL a�?::. ?•a�..�:•.•.:,~•.T? WORK WI 7'i•y fi i.l TH ?(�`�"f�;j"i i.w
EITE l::. ,:s ? !'{?::.,:. ? ' 12716 F • 4 ! H A t,E E-rel i•?C E•-E_,•,.-•• 27543-0202
ADDRESS= SPOKANE WA 99216
PERMIT USE=-- E Ei' CONNECTION . 'I:I:I_.I...C::E E: T• 2ND ADD
;_•:+i�*• SEE NOTE „-*;r
;'LA ! •max=_ 001223 }.:}...AT NAME= HILLCREST ACRES 2.N(? ADD
... .......
.. Z
AREA= F /ft :: WIDTH= }:}i"Iji••)'
OFBL..t?tG=.... :r' DWELLINGS= 1 WATER DIST
O+W,+.:..R'{::: ? i:c..±_.i:IAit ; GER . PHONE= 509 922 3161
;. tt';?::.1::. l .... `Is: t't ,t t:. :::4t ?? AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= i t `'}P,;}1..!?.J SANITITION PHONE E NI,h''lhi i••'C=: 509 926 4781
BUILDING : El zfAcKS : FRONT... NA LEFT=... NF
RIGHT= Nt1 REAR= NA
•}+:*)+:4l f+:lt•j{H:•3i:••k:•**•lk•l+:•A:'ii•)l•7>.'it•.j,..j;.•}•:.yt..j,.•}t•}k f±:•lfi!+: EEWER PERMIT !•P:•}1••R:*•P:il••)k•}R P:!k*./±:..R.:#c•il•:A•4+:3f:!k'A:i?•N:•1 ri'3±:'N:1+:•}¢•Jt:
CONTRACTOR= SIMPSON ;'AN: 'jti AION PHONE=•NE 509 926 4781
! ?
:,
STREET= Eli :.} E:. +:fAL..a?WtI.N AVE
ADDRESS= SPOKANE 'e%d A 99212
ITEM I t"? I:i'{-}..•.It.: ? ?.t.#N QUANTITY FEE AMOUNT
-------
PROCESSING FEE E .f. 10.00
SEWER CONNECTTON 40,00
PERMIT TYPE t.. .. AMOUNT t }fU } PAID AMOUNT OWING
SEWER PERMIT 50:.00 ,00 50.00
50.00
50.00
?;7 x_:
PRINTED BY : jOHN LARSON
:EAWLELRBSETFUOBREASY-0:UIDLITG
IS
AVAILABLE A_ THE
C
Ct
N TY
UTILITIES DEPAMEN (456-3604)
CONTRACTOR ORAPPLICANT ISTO FIELD LOCATE AND CONFIRM THE
ELEVATION ANO '. LT: iv OF C ~G :? , } #U IRIOI lO Arr tT E ?
XCAVATION
O _ :A E BURIED CABLES, GAS PIPING, WATER LINES, ECT.
SEWERSTUBS ARE TO BE CHECKED PRIOR TOCONNECTION TO INSURE
THAT 'THEY (In EAR AND UNOBSTRUCTED TO THE SEWER MAIN
)S 7i•p;*'J\R*9{•}4 CALL r - INSPECTION
PRIOR - - COVER **a***is ai'*u
***Mi3t ie De f•3i• 24 HOUR NOTICE REQUIRED *****•}Eit* ;?.
....Il•.h•}F 9±r'ii•. 456-3604
56_ 3" t ` ri$ PNPt
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.7±:1,.1±._.,..?..?')!•Jk 9?•J?•)t:+t 4S••ft th Jk•fL•1+:'7+:){•f:M a{•tM•M*tt')+.)t':»•N•* THANK Y!}E,} it 4t 1!'}!•lt''t+:9€•)t'9`•:± 72'it 3t*Ik 3±:'7?-:+L'1?.j(.:7±:.jR.7{.:}±:9?=)t! tt 7!•Y:3t•f±;*