1991, 03-13 Permit: 90005948 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/vom/vmot/oo,00xuminoom/uperm/vuvnnvunvn.mummanxomm,mat/onnvntamoumnunuouum/tted»vmoonnvagenuvvomnnooump rmit/application is true
and correct, and authorize Spokane County to proceed withpmoossmo In addition1 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
PROJECT NUMBER= 90005948
****************************
ISSUED PERMIT DATE= 03/13/91 PAGE= Oi
PERMIT INFORMATION
****************************
SITE STREET= 10914 E 23RD AVE PARCEL4= 28542-3616
ADDRESS- SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLAT4= 00i393 PLAT NAME= KOKOMO T WN%ITE
BLOCK- 22 LOT= 9010 ZONE= AG%UB DI%T4= F
AREA= 00000000 F/A= F WIDTH= iOO DEPTH= i3� R/W= 70
0 OF BLDG%= i 4 DWELLING%= i WATER DIST =
OWNER- %ODORF, MARK
STREET= 10914 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEWIS - TOM STONE
BUILDING SETBACKS: FRONT= NA LEFT= NA
***************************** %EWER PERMIT
PHONE=
PHONE NUMBER= 509 926 R9i1
RIGHT= NA REAR= NA
******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
STREET= 1112 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10,00
SEWER CONNECTION i 40.80
******************************* PAYMENT %UMMARY ****************************
PAYmENT DATE RECEIPT -4 PAYMENT AMOUNT
03/13/91 1230 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
%EWER PERMIT 50.00 50.00 .00
-----
50.00 50.00 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A% -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
FLEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER EINES, ECT,
CALL BEFORE YOU DIG 8000\
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T 0 TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
* * * * * * * * * 456-36O4 **********
******************************* THANK YOU *********************************