1992, 12-16 Permit: 92011009 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
rove - ��"'va 'e
w' eaan:: :e. "i—aume On oe.imm pronounces governing MIS type Of work will lre compiled with whether specified
herein ornot.l untleretandthatihe issuanceotthis permi/appI cation and any subsequent inspection approvals or Certificates of OccupencyshaII not be construe) to
giveauthority to violateor cancel the provisions pfanystat prlocat law regulating construction, or as a warranty of conform an cc with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION //
OWNER OR AGENT l��L DATE ' ///� /�l- /(p
P'ROJECI NIJMEIER= 920110/09 :ISEUED PERMIT DATE= 12/56/92 PAGE== 0i
PERMIT" INFORMATION ##########.#if{f#xx{F#{f,f#..... k.
SI'i E. STREET::= 101309 E i 0TH AVE PARCEL. -- 45204.921;6
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - OLD ORCHARD (92S-1231)
{F## SEE:: NOTE: ###
=' +}T:= 999999 PLAT NAME= RANGE:
BLOCK= LOT'=. ZONE": URI --3.91 DIST'-== is
AREA= 00000002 F/A== A WIDTH= DFPTI-I-' R/W=_ 40
OF: BL.DGS= DWELLINGS= i WATER DIET =
OWNER-- ILSEi.N, HARRY PHONE=
STREET=:: 10809 E 10TH AVE
ADDRESS= :SPIIKANI:I WA 99206
CONTACT' NAME.:':::: TRT Ell E a' CQKN TRUCTION PHONE NUMBER -i"2
::: .509 927 56
BUII...DING EETBACKS: FRONT: - N/A LEFT= N/A RIGHT= N/A RE.AR:-: N/A
SE:: WER PERMT. T"
CON RACTORx TR:IPL_E. S CONTRACTING
STREET-:: 11;12:7 E BROADWAY AVE:
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PRCICE.S.'. 7:NG FETE:
SEWER CONNECTION
PHONE= 509 927 C""c+6
QUANTITY FEE AMOUNT
Y 0.00
40.00
PAYMENT .S'UMMARY
PAYMENT DATE RECE:I.P'rI PAYMENT AMOUNT
12/16/92 1317 50.00
TOTAL DLiE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOI.INT PAID AMOUNT' (:LWTNG
_........... ... _._."....... _. ...........____."....._ __..___.._.._.._.__
. _..... ... ...
SF-WER PERMIT .50.00
910.00 50.00 .00
PROCE:ESED BY. DOM171ROV.TCM, ROBIN
F'FiTN7E:Ii BY; DOMITROVI:CH, ROBIN
SEWER ST'UIi AS BUILT INFCIRMATION .1:5 AVAILAHI...E: Al' T"HEI COUNTY
UTILI'TIE.S DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATF. AND CONFIRH THEF
ELEVATION AND POSITION OF SEWER ,4TUB PRIOR TO ANY 13ii�FR
EXCAVATION
To LOCATE BURIED CAF?LIES, GA,S F-T.PING, WATER L.
IS, E:C7.
CALL.. BEFORE YOU DIG, (456-8000)
SEWER EIUDS ARE 70 HF CHECKED PRIOR TO CONNE.ITON �70 ENSURE
'THAT rHE ARE C1..FAR AND UNQr iF;(JC TET) T(3 THF. sEWEE MATN
FCTF2 INSPECTION F-RIOR TCI COVER
24 HOUR NOTICE REQUIRED
]t########
456-3604
THANK YOU *1r11 1ifu###i s'h'diFie