1991, 10-02 Permit: 91004126 SewerSPOKANE 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 Certif icates 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= 91004126 ISSUED PERMIT DATE= 10/02/91
3i3i'3i'3irs¥,i:#Seri'3e3e3e3e**3i'3e3He*3eoe're*3e** PERMIT INFORMATION *3t3i-3e3E*3e3E3e
PAGE= 01 '
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SITE STREET= 3116 5 ECOWDI,SH RD PARr;I:::L.:C:=: 2854 3-56i7
ADDRESS= SPOKANE 14( 99206
PERMIT USE= SEWER CONNECTION -" SOUTH IKOKOMO
*** SE.E: NOTE ***
NL ATm=
BLOCK=
AREA=
:11 OF tl "E....
001 393 PLAT NAME= KOKOMO TOWNSITE
t OT =:F.ZONE= UR -3,5 DIE;
• :A= I_.WIDTH= 104 DEPT
DWELLINGS= 1 WATER DIST :_
OWNER= MCLE:OD , DON
STREET= ;3 1 'i 6 S t30WD 1 SH RT.'
ADDRES'S'= SPOKANE: WA 99206
130 fi /
(.'I..10I``)E:.:::: 50r;, 928 :3433
CONTACT NAME= DONNA COLIRCHAINE: PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR= NA
*****************************.SEWER I''EI'{J'1 .ET.h..ii.3i..h..h..ii..h..;i.+e.h..ie 3i"tt'it'*ri'iiri'u*ab r: * x'**V *qi.
CONTRACTOR= COUR(:i-1A:I:NE CONSTRUCTION
STREET= 16402 E •VAL..LE::YWA..r:
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FE:E AMOUNT
PROCESSING FEE: Y 10.00
SEWER CONNECTION 1 4000
PHONE= :509 924 5485
.....
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PAYMENT DATE R:i CEI.PTt PAYMENT AMOUNT
10/02/91 7140 50.00
TOTAL DUE= .(110 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00
t:r 0
50..00 50.00 .00
PROCESSED 'BY : JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INF— NATION 1:S AVA1.L..ATiIE AT THE COUNTY
UTILITIES DEPARTMENT i4: -r.';--3604)
CONTRACTOR OR APPLICANT IS TO FIELD i._i:JC::ATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PI :F.OR 1-O ANY OTHER
EXCAVATION
TO LOCATE: BURIED CABL..E:S, GAS PIPING, WATER LINE;, ECT,
:ALLBEFORE YOU DE( : ._7oet7/
lll:i:P? STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
IT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
3.u.gc..je.n.;i..wgi'r: C;f,i..1.. I'I..IF? 1:'r!,_:'.:._;T.T.(]I.1 PRIOR TO COVER w: 3eu.,,..R..h..y:gi..je3;.
* 363e3iu'3i'3i'3i'3i' 24 HOUR NOTICE REQUIRED I:RED 3e.ri***1*3edi3e'3ire
ti((ke 3 3 3 456-3604 *3*y,Rgaa
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THANK YOU 3e'ie3'3e3E
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