1992, 10-27 Permit: 92009398 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY NUE
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 authorizeanokon000 nty to proceed with processing. In additionI have reaand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comth same.All provisions of laws and ordinances governing this type of work will be complied with whether s
herein or not.I understand that the issuance of this permit/aplication and any subsequent inspection approvls or Certificateof Ocupancy shall not be construed to
give wm rito 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
PROJECT NUMBER= 92009398 ISSUED PERMIT DATE= 10/27/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12522 E 27TH AVE PARCELO= 45273.3010
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - HILLCRE%T (92%-1110)
*** SEE NOTE ***
PLATO= 001 230 PLAT NAME= HILLCREST ACRES 7TH
BLOCK= 3 LOT= iO ZO = SFR DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDGS= i 0 DWELLINGS= i WATER DIET =
OWNER= STONE, DARLENE PHONE= 509 922 4813
STREET= 12522 E 27TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10^00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
•
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/27/92 9536 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
• 50.00 50.00 .08
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 IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER Ti% B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************