1992, 12-16 Permit: 92011007 SewerSIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTY DEPRHTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(609)4S6-3675
its in.Det, in ri,sieet a with minformation
reas nanm addition. Ilrend have Bread Itted and understanmeor d the INSPECent to Tile
IO
L warm My of conform ance with the provisions of any state or local
APPLICATION< //
DATE L G f Iv
PRO,jEC-T NWIDER:- 920i i 007 ISSUED PERMIT DATE= i2rfdi 92 PACE== Oi
{r########################### PERMIT INFORMATION
SITE STREET= 10803 E 10TH AVE FARCEL.7:L 492i -;.9i r2
ADDRESS= SPOKANE: WA 99206
PERMIT USE= SEWER CONNECTION — OLD ORCHARD (92S--1230)
### SEE NOTE ###
PL AT'== 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI DIST«= F
AREA= 00024000 F/A= F W:IDT1 DEPTH= R/W= 40
A OF ELDGS= i s DWEL..LINGS= i .WATER DIST
OWNER== POTTER, I...BREEN PHONE==
.STREET= 10803 E 10TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME== TRIPLE S PHONE: NUMBER= 509
HLIIT.DTNG SETBACKS: FRONT== N/A LEFT= N/A RIGHT= N/A REAR= N/A
,SEWER PERMIT
CONTRACTOR- TRIPLE S CONTRACTING PHONE== .`509 927
STREET::;: 11322 E BROADWAY AVE:
ADDRESS= .SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
P'ROCESS'ING FEE Y i 0.00
SEWER CONNECTION 1 40.Ei0
PAYMENTSUMMARY
PAYMENT DATE RECEIPT" PAYMENT AMOUNT
i2 ' 'i 6/92 13 1 7 50. 00
TOTL DUE= .00 TOTAL.. PA1D: 50.00
PERMIT TYPE.: FEE. : AMOUNT AMOUNT PAID AMOUNT OWING
SEWER f-•P:::KMIT' 50. 00 50.00 .00
50.00 50.00 . rin
PROCESSED BY: DOMITROVICH, ROBIN
"rRINT'ED BY: DiaMIT'ROVICH, ROBIN
SEWER .STUB AS—BUILT INFORMATION IS AVAII_ARL.E AT THE COUNTY
UT:Ci.A.T:I:EE DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIE] D LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED C:ADI...ES GAS PIPT.NG, WATER LINES, ECT,
CALL_ BEF6RF YOU DIG (45�--8000)
SEWER STUDS ARE TO DE CHECKI.D PRIOR TO CONNEC:I'ION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MATH
###### CALL. FOR IN.S'F•ECTI:ON PRIOR TO COVER #########an
24 HOUR N{7T:C.CE REQUIRED ##########
456-3604
jM."'.NK' YOU