1991, 03-28 Permit: 91000511 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 prmit/application is true
and correctand authorize Sokane County to proceed with processing. In addition / have reaand 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= 910005ii ISSUED PERMIT DATE= 03/28/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i072O E 23RD AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE=. SEWER CONNECTION - NORTH KOKOMO
'*** SEE NOTE ***
PLAT4= 00i393 PLAT NAME= KOKOMO T WN%ITE•
BLOCK=. i = ZO = AG%UB
AREA= OOOOOOOO F/A= F WIDTH=
4 OF BLDG%= i � DWELLINGS= i WATER DIST
PARCELO= 28542-3516
OWNER= F N ��
STREET= iO72O E 23RD AVE
ADDRESS= SPOKANE
7:::^'TACT NAME= 'EQNARD - H
BUIL�IN- %ETBACK�FRONT= NA
****************************
DI%T�=
DEPTH=
=
F
R/W= 70
PHONE NUMBER= 509 926 8964
LEFT= NA RIGHT= NA REAR= NA
SEWER PERMIl
CONTRACOR= H & % CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
•ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
•
PRO: 'SING FEE
SEWER CONNECTION
******************************
QUANTITY
--------
Y iO.
40.
PHONE= 509 926 R964
FEE AMOUNT
----------
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATF
O3/28/9i
RECEIPT4 PAYMENT AMOUNT
1624 50,00
TOTAL DUE= .00 TOTAL PAID= 50.00
TYPE 77E AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT
PROCESSED BY: JULIE
PRINTED BY: JULIE
%HATO
%HAT.O
50.00 50.00 .00
---_- ------------ '
50.00 58.00 .00
SEWER STUB A% -BUILT INFORMATION I% ABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TG LO[A
CALL
P. E.
REBUOED DCB4"18ApIPING' WATER LINE%' ECT,
SEWER STUBS RE TO ._HE TO CONNECTION TO INSURE
•THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER •MAIN
********* CALL FDR. INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED ******§***
********* 456-3604 **********
******************************** THANK YOU ********************************`