1992, 12-02 Permit: 92010580 Sewer 9
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
I:: i i.i>"t-`T NUMBER= 'i 0 .i": PERMIT DATE=•. 2 :0' PAGE= 01
i : j _ jjt j:j: : j: ji ; j;l it } jPERMIT INFl :' i ; ? v jjnt 1 : 3rr
5t1iri : i
SITE ,.: } {.:1...I... .... 12814 t... 25TH F.t',;t::. P F•i?•.:.:}::.I...:;F..... 44572,0305
ADDRESS=
•• : A'*13::. WA 99216
PERMIT USE= .E:.Wi.. CONNECTION .._ r'l.I.L..t...t.:!".I:.:.. . (92S-1204 )
ft')+:'K SEE NOTE ***
,. .!'S PLAT NAME= HILLCREST ACRES !J t,J +
BLOCK= LOT= �-1^JF,::. {::i i.:.'':i.?A�� 0J.l.:"-:y::::: r:
AREA= 00000000 E' .''A'.•{::: F `fi WIDTH=Ti••i:::: ,1,3EE' # 1.1= ;4
41: I:7t''• t S f; •!}• 1'tAl 1•'.:...t } {''.: •• `t i�i I { DIST, „
OWNER=Ni::..{= 1.t. GL..F•N 7 BILL {..•I.•ii..S?`•%l::."•
STREET= 'i 'I4 E 25TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME:::: TRIPLE i:i,,:'1SPI Ii' t,,JN PHONE NUMBER= 509 927 0256 •
BUILDING ! rACi:::: : FRONT= N/A LEFT= NSA RIGHT= N/A REAR:::: V r?A
31..........................................:•*Pi Pi*** ;.t ';1 L.r4 r:`.,i.c-t•••.. 31'33 'p31 i{'•}!i i+=i i{•1G P:)!•iG ii•'N:'j+i i+r'1j:'Pr'!tt i+t'?i'3!r i++r ik a•1{i+:i i++r
CONTRACTOR=] t t.,. , {.:LE ::} .1N E::Ai..: i N.;r i'I..iUNI::.:- ..%1;%"r ..: i ._....56
STR
AVE
ADDRESS= SPOKANE WA 99206 1
ITEM DESCRIPTION QUANTITY E'E E AMOUNT
PROCESSING FEE E' 10.00
SEWER CONNECTION f 40,00
a}:is .yi..31 ]j.:'.:}j.::.:,;.i•.:i:.j;..ij..i}::}.: :j.:}j.*;j.. .i::il:.j.:,j.'j. :.]r.:},::i.:lt::h..(..:.j,:.jj.]j.' •}:A(..ji..5j.: ij.: '.:}r.:j.:,j.:(.::.jj.:}::
.. :.:..s-�!. .•.}.:.:. St...J,..,+..;.:....!. t\•lh 1. .. ..,.}`:1...J.r.7. I''A:;'{'!'i r:t''v i -t,-!!"t!'i:::'t#'t; `t....1. ....}.)•.......it 9.,... :.!l•,.3l•41. .. 1. .. !.!t..t.!4•
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/02/92 857 50.00
TOTAL A t_I#:. .00 TOTAL f-ill...... •' 50„00
PERMIT TYPE {..{..r. AMOUNT AMOUNT PAID AMOUNT OWING
1:LIALR 50,00 50,00 „00
50..00 50,00 _00
PROCESSED BY : DOMITROVICH , ROBIN
PRINTED BY :
DC,N . .IP •iV , .:1 ROBIN
SEWER STUB ijI;i F.l 1—e;i 2ILt INFORMATION .: AVAILABLE AT THE COUNTY
UTILITIES !.%i::.i";.ai".; t S"!i::.N ? �: '+.:. ._. ...":ti:�+C)x:r )
CONTRACTOR _
APPLICANT i + FIELD t :Fi • ANDCONFIRM
THE
:..
ELEVATION A N" POSITION O- SEWER PRIOR A ' OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES , ECT.
CALL BEFORE 'YO0 DIG C.
00)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR r't•7R FIND t,tlVt_:t:S t !";L.%t.: # I::Di O THE SEWER MAIN
P.'n•)+:b:i!:*:p.*•n' CALL FO R INSPECTION 1': ,OR TO i i... `tr i�,E i':ii'ii:J{**}t.h.:p.:);.
24 HOUR t,•..) ! .1.t.:t::. REQUIRED P..F...1`'*•J:t:•i.9:•s:
iY 3k•R'It:'74•K 9t:9+:9P ••v ?t: ,k. '.
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