1992, 09-18 Permit: 92007828 Sewer --------------- ------------- ------------ -------------
BUILDING PERMIT .00 .00 .00
------------- ------------ ------------
SPOKANE COUNTY DEPARTMENT OF BUILDINGS .00
PRQpi:%%ED BY : DOMITROVICH ' ROADWAY AVENUE
PRINTED BY : DOMITROCH^ SPOKANE,WASHINGTON 992GO
^ ^ ~ (509)456-3675
�ft)bpjr'n *
and correct, and authorize Spokane Contto 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 orcancel rovisions 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 ( 41IL APPLICATION 6{ 0/5
OWNER OR AGENT ik1\ DATE
PROJECT NUMBER= 92007828 I%%UED PERMIT DATE= 09/18/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 12920 E 25TH AVE ' i:: :: .,: ::: 45273.0309
ADDRESS= SPOKANE WA 99216
PERMIT U%E= SEWER CONNECTION — 920i (92%-943 )
*** SEE NOTE ***
PLATt= 001223 PLAT NAME= HILLCRE%T ACRES 2ND ADD
BLOCK= 6 OT= 9 ZONE= AG%UB DI%T4=
AREA= F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i DWELLING%= i WATER DIET =
OWNER= FORRE%TER . MERWYN PHONE= 5O9 924 9914
%TREET= i292O E 2zTH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10. 00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
09/18/92 7933 50. 00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 ^00
------------- ------------ -------------
50.00 50. 00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (45"-8OOO)
SEWER STUB ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* �CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************