1992, 09-29 Permit: 92008172 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, N 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 permit/applicationis 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 9_c9q_ ,?,ca
•
OWNER OR AGENT 0 DATE
PROJECT NUMBER= 92008172 ISSUED PERMIT DATE= 09/29/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12404 E 27TH AVE PARCEL4= 45273. 3004
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - HILLCRE%T (92%-978)
*** SEE NOTE ***
PLAT4= 001230 PLAT NAME= HILLCREST ACRES 7TH ADD
BLOCK= 3 LOT= 4 ZONE= UR-3 .5 DI%T4=
AREA= F/A= F WIDTH= 96 DEPTH= 130 R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DIET
OWNER= MUN%ON RICHARD M PHONE= 509 624 2300
STREET= 12404 E 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 922 O113
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
%TREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
O9/29/92 0292 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ .
SEWER PERMIT 50.O0 50.00 .00
------------- ------------ -------------
50.00 50.00 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELENATIGN AND POSITION OF SEWER Ti% B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPINGWATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (45"-8OOO>
SEWER STUBS 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 *********************************