1992, 10-27 Permit: 92009411 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 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,dr/
local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. //'
SIGNATURE OF APPLICATIONOd0�`DATE
PROJECT NUMBER=!1"Si...R92009411 ISSUED !:?'ti s DATE= 0, ,' ! `}, PAGE= (•-`}
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SITE
a vAVE STREET= . :.81 -�4 E 2•' ! H ti ti • F AR1;k:.i...O_.. 45273.0205
ADDRESS= SPOKANE WA 99206
PERMIT a{'E_ SEWER cirv r i - JiN " 3liF ( [ S T (92S-1119)
r k ii• S E E NOTE ***-. t C
PL.f-�'T';;: : 001 223 PLAT NAME= HILLCRE:._f ! ACRES 2ND ADD
LOT= 5 ZONE= SFR DISTO=
a r•.r••a ror r.
ANL:.fi�,, taic t_7i)ot.}e_i F/H= F WIDTH= DEPTH=: F,',' + ::
0iWEL.L.:[NGS=: 1 WATER DIET ....
.OWNER= HARVEY,: BEV PHONE=
J! i,1.EI :: 12814 i::. 24TH AVE
ADDRESS:::: SPOKANE WA 99206
CONTACT
:P _AC' ?A ~ E= TRIPLE
R1PLEs CONSTRUCTION PHONE NUMBER= 509 i : 8256
BUILDING SETBACKS : FRONT: N/A LEFT= N/A RIGHT= N/A REAR= N/A
ii•a!:•*4i•}i*i{a* *4i•it•-i4 4i ii ii*#4k ri•it•3i. .*•r.•*4!i•h: ;i f WI E::.i• PERMIT *)i :k***#*it 4{k v a•4i•***4i* •*){ :d:ie*4i•*•}t•
Ii
CONTRACTOR= TRIPLE " CONTRACTING
PHONE= 509 927 8256
STREET= 11322 E BROADWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
iti } 44ri,kG* E h3pri i4k N4k* i* {* k} e x 4 ' : Y " r =T SUMMARY # i* ti*# ii**#***#**kx****#*#*
PAYMENT DATE F:°ECF::1PT4 PAYMENT AMOUNT
10/27/92 9530 50.00
------------
TOTAL DHE= ,00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT • AMOUNT F'AT:I:? AMOUNT OWING
--------
SEWER E - 3i 50.00 50.00
ai; afi()
50..00 50.00 .00
'Rt.?;.:ES,`aEt? BY : tt!ONITROVICH , ROBIN
PRINTED BY : DON I TFt OV I CH, ROBIN
SEWER
STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456•'_; , ;.14)
CONTRACTOR O R APPLICANT I S' TO FIELD LOC "T " AND Ct Fat THE
E
ELEVATION AND POSITION l-11- SEWER St t.?i PRIOR TO Ai l'?z OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL.. BEFORE YOU D E C (45(:)-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT{••iT Ti"iEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER i;r";.!.!
i) ) at 1 E ii CALL FiF INSPECTION PRIOR ~ ( COVER x
k**Rk {3 * {
?f•*:>?•3>: 1t lr*'n. 24 HOUR NOTICE Ri::.QUIRE?J yr4i••ri•3 * `•4?•4 iE
*******Kik 456 t,^,_..3.,,;1 '$ r+•it}.*3.}.i.it n.•t.
THANK y
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