1992, 12-02 Permit: 92010531 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGT010 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
NUMj3E ., IESUED PERMIT DATE,: 12/02/92
SITE STREET= 10714 E 9TH AVE PARCELO-
ADDREES- EPOKANE WA 99206
PERMIT UEE= ..ti CONNECTION
EEE NOTE
PLATO= 001827 PLAT NAME= OLD ORCHARD EUB
BLOCK= LOT= 'ZONE=
AREA= 00000000 F/A- F WIDTH=
... ... .....
STREET= .10714 E 9TH AVE
ADDREEE= SPOKANE WA 99206
CONTACT NAME= ALWAYE ACTIVE
BUILDINC EFTBACKE : FRONT= NSA LEFT= N/A RIGHT= N/A REAR- N:,/
9 '! !! ".. .. K t. .r a .:.(.:k:!,::!{.:!ri.,(.:!(.:!j.K.. ...:9r• gEwER pERMIT .. .... .. .. ........ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
CONTRACTOR= ALWAYE ACTIVE PHONE= 50? 922 9500
STREET= PO BOX 141562
ADDREES= EPOKANE WA 99214
ITEM DEECRIFTION QUANTITY FEE AmOUNT
PROC=ING FEE
EEWER CONNECTION
q:...}..,:..!,.q,..,!..y.!,..,!..,. .! r! ! .! ! .. .r .. .. .! .. !. i. ! .. a :u•:!i' ZUMTri tr�::'. .. .... ...... .. ..:. .... .... .. .. .. .. .. .. .. .. .. .. .. ..
PAYMENT DATE RECEIPTO
12/01 /92 O12
TOTAL DUE= , 00 TOTAL PAID=
PERMIT TYPE ;-.LL AmudNi AMOUNT RAID AMOUNT
SEWER PERMIT 5 , 50 ,00
PROCESSED BYI DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH, ROBIN
ITIFE DEPARTMENT ( 456-7,604 ')
CONTRACTOR OR APPLICANT JS . TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POEITION OE SEWER ETUB PRIOR TO AY QT.:HER
EXCAVATION
TO LOCATE BURIED CABLES : GAS PIPING : WAT1.7P rflT .
BEEORE YOU