1992, 02-05 Permit: 91007781 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
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 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
i..?.,., ??"?. is NUMBER= 'T-1 (...)0 / (01 .lJ PERMIT DATE= 0 .... .. ... . . 2 PAGE= ..
..:•.1-...4:•9t•:}!:9?':h: ?''!::.. ..MIT I ?.,?}..:??'t;??{-�! ? !,i,?1'•:!
SITE STREET= .11207 E 10TH AVE PARCELO= 20542-1912
ADDRESS= SPOKANE WA 99206
PLAT4=:n::::: !..:i,l`-}V.; I PLAT
NAME= CONVERTED CNTY DATA
OF BLDGE= 'a moi" DWELLINGS= i W( ....
OWNER= :.:?..?t:!NE, DONALD ?:;? .'Hf.,:-1:'..
STREET= 18TH
8"•'
ADDRESS= SPOKANE WA 99206
CONTACT NAME= !.J?..?I'•?i s1. D SHANE PHONE NUMBER_...
BUILDING I.. , !•:t? FRONT= N/A/A .... ... ?•.J :: .:.} RIGHT= j'.1.`A REAR= N/A
: : :;a3:•: : : ;1 : : : i1 : J : :R: ;; R: :;F p J ; ; SEWER P} . i : : i* } j ;1 : jJ ; S: j:.}e.. }:.}j..:.yr : j: :.v ': : :::
.
?:?yid S:t? I ?�Y:,..... !..i?jj l`+J k:.I''. Pi..i j.�. .....
ITEM DESCRIPTION QUANTITY. ... } . s'u..:.v AMOUNT
.
PROCESSING FEE 10,00
SEWER CONNECTION 40 ,00
........:.:...:... ..J.1.....J.1•. J•.?:)! P.Y.J:3y. t;".}..'?'::.`::f}-.•};-itY!;. P t.:}Y t:t..I•? I :::.;.i j'i?�"t 7:i!t•c` ;!i- L•4:.jc..jj../t")y:•)7 ..}}..ti..}:._}i..}i.,}i..J'i i?r ile.:.. ..: .}...},..!?..}?..:
PAYMENT ,.?!••+ I I::. '`•.:...t.:!::..I.P I moi• PAYMENT AMOUNT
02/05/92 712 50,00
................................................
lUiAL DUE= AO TOTAL PAID= 50 , 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 , 00 „
.. .. .. ............ ..............,....:i.:c:::.r.:c:'.*:'.' '.:}".:}j.aj.:yy.*:.i,.:::. :}c.:t..f:}:.:i.:};.•H.:a.:}t:}c.:{.:};.:,c:t:.:}c:};.:. ..:}:.:y..;
.y;.:}...J},.;...!!.9?:'!:::t:. �!..}!..,!.�!.�!_.}}...;,.}!.;;y;•}a.•}."J,a.. t., !(g.-Js.-J!;;e4•jt::}j._}},j;.:}":}3'S�')":f":u::!r i!::t`::!t'?l':}i':!}. .? ....:...:..v.... ....J. ...... ....J... .... ..........
:'-
PLAT NOTE : T
v _ rI4
= GENERAL _I
. BUILDING
....•..:v.....v....,,..:..v..a..v..v..,..v:..,....:..,..v....,.. :;.:j.:i.:}i.:}i..ij.:i.:,;.:j.:i..jj.:vy::}i.:}}.:?::}i.:i.:}1.:i.:::}i.:.i.:}i.:}:.:}:.:ii.:}i:}a: .}i..J... ...::ti.:}i.:}:.:!i.:}i..}i.:i::}i.:}?_:v?..i!'.�...}t.
.! ?a. !.-;.-J,?.,?t.,..!.,}.r!.:.•J•.!•.:�.:f. i!:?r!J:Y.?:?}.k.!•.J-.:{ ?t,�..1-. }.f........?...J.J...,..... J...?...1.N...:....... .... . ...... ..
PLEASE UPDATE PLAT KEY
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
EEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
i ,.. ij
CALL BEFORE YOU
DIG
v
.c:FWFP ARP Tn Fr OHFCKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARP rLFAR ANT:, mmnnTR00TFn Tn THF :':.:FWEP MAIN
.... .. . . ... . CALL a...;..i i'; .,...
24 HOUR NOTICE REQUIRED
456-3604
THNK you