1992, 10-19 Permit: 92009044 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 a y 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 del
APPLICATION O d-/(i trr,
OWNER OR AGENT DATEi
!''ROjEi-.f NUMBER= 92009044 ISSUED PERMIT DATE= 10/19/92 PAGE= ()j
*it•**•*ie*•*****•****************
PERMIT INFORMATION *******ac********************
"I:T! ;::: STREET= :12910 E:: 24TH AVE:: P ARCEL 0_.. 7: C.)208
ADDRESS= SPOKANE WA 99216
PERMIT USE=: SEWER CONNECTION — HILLCREST (92S-1066)
*** SEE NOTE ***
PI...AT4= 001223 PLAT NAME== HILL.C:F EST ACRES: 2ND ADD
BLOCK= .. LOT= 8 ZONE= AfT::}i.lD i"_% I s'Tx== I:
AREA= 00000'00 F/rA:=: F" WIDTH= 90 DEPTH= i 5 \/rW= 0
0 OF BL.DGS:=: S 0 DWELLINGS= i WATER DIST =:
OWNER= JOHNSON, JUSSUP PHONE= 509 922 2683
STREET= 12910 E 24TH AVE
ADDRESS= SPOKANE:. WA 99216
CONTACT NAME= TF'IPI._I. S PHONE NUMBER= 509 927 8256
c,
• BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR== N/A
3e.*•n:**i!****iiii•ikiG•i(*****3F#a3t•ii**** SEWER PERMIT ******ii*ir*•ri•*ri*3iii:* *********•;~:•**
CONTRACTOR== TRIPLE S CONTRACTING PHONE= 509 927 8256
STREET=T== -1 •1 .a;?? E:. EiROAI'WAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE. Y 10.00
SEWER CONNECTION i 40.00
}h****************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECE:EPT4 PAYMENT AMOUNT
10/19/92 91 90 50„00
TOTAL. DUE= :00 TOTAL PAID== 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
---------------
SEWER PERMIT 50.00 50.00 .00
5050
PROCESSED BY : DOMITROVICH . ROBIN.
PRINTED BY : DOMITROti ICH, ROBIN
SEWER
. WFR ST► lAS—BUILT IrF FrATlOU
IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE APJ)' CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO l...i.i!:Fi . :. BURIED t.,,?t:r!...!::.4. GAS PIPING, WATERI.N .:.? , ECT.
CALL BEFORE v:•.i%? DIG (456-8000)
SEWER ``UBS ARE Ti) :t:{£:: CHECKED PRIOR If CONNECTION TO INSURE
THAT T HE•r ARE =.`:I...EAI? AND UNOBSTRUCTED TO THE. SEWER MAIN
****-***** CE•tI_.L.. FOR INSPECTION PRIOR TO COVE:.-_° ..A* R*•a:***
I:******** 24 HOURS NOTICE REQUIRED *****-****:n.
******i=:**- 456-3604 **•a:**:* :A:**
. *. . . . .. . . . THANK YOU r* r*niie ****n**ron*mrria *
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