1992, 11-30 Permit: 92010465 Sewer SPOKANE COUNTY DE,PARTIVIENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that » information cont / d in it and submittedu t to compilesaid permit/application is to
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
PROJECT NUMBER= 92010465 I% UED PERMIT DATF= 11 /3n/92
**************************** pERMIT INFORMATION ****************************
%ITE STREET= 10815 E 9TH AVE PARCEL4= 45213. 9028
ADDRESS= NINE MILE FALLS WA 99026
PERMIT U%E= SEWER CONNECTION — OLD ORCHARD (92%-1i85)
*** %EE NGTE ***
PLAT4= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= GA DI%T4=
AREA= 00000001 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= 2 'X' DWELLINGS= 10 WATER DIET =
OWNER= THE ERL, FRED PHONE= 509 928 6� 45
STREET= 10815 E 9TH AVE
ADDRESS= NINE MILE FALL% WA 99026
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 5O9 926 8964
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 3964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMGUNT
------------------------- -------- ----------
PROC10, 00
%E�ER CONNECTION i 40 .00
******************************* PAYMENT JUMMARY ****************************
PAYMENT DATE F.!ECEIPT41, PAYMENT AMCI f.47-
11 /
Ti1 /3O/92 743 50. 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ —
SEWER PERMIT 50 . 00 50. 00 . 00
------------- ------------ -------------
5O.00 50 .00 . 00
PROCESSED BY : DOMITRGVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%—GUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PG%ITION OF %EWER ETUB PRIOR TO ANY OTHER
EXCAVATION
TO LGCATE BURIED CABLE% , WATER
CALL BEFORE YOU DIc, ( 456-8C20 )
%EWER ARE TO BE CHECKED TO CONECTIDN 7� IHJURE
THAT ARE CLEAR AND UNOS% LHUCTEM�Th
*** ***** CALL FOP IN%PECTION PRIOR TO COVER **********