1992, 06-29 Permit: 92003709 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER=: 92003709
ISSUED PERMIT DATE= 06/29/92 PAGE= 01
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SITE STREET= 10923 E 23RD AVE
ADDRESS= SF'CJKANE. WA 99206
PERMIT USE= SEWER CONNECTION —
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PLATO=
BLOCK=
AREA=
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OWNER..::
STREET=
ADDRESS=
001393 PLAT NAME=
19 LOT=
00000000F/A=
i •x• DWELL.I NG;S=
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10923 1" 23RD A V E
SPOKANE:: WA 99206
F- A RCEL..tisr:::: 45 82: t.
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NORTH KOKOMO (925-509)
KOKOMO TOWNSI:TE
19 ZONE::- AGSUB DIST:"'::. F`
F WIDTH-': DEPTH=
WATER D:[ST •—
CONTACT NAME:= COURCHAINE: EXCAVATION
BUILDING SETBACKS: FRONT= N/A LEFT= N/A
PHONE=
l:,/ t:::: ;,;,
PHONE NUMBER= 509 92.4
RIGHT::: N/A REAR= N/A
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CONTRACTOR-- {COURCHAIN1 CONSTRUCTION
STREET= t . 402 F VAI._L_EYWA`f`
ADDRESS:. VERADALE WA 99037
ITEM DESCRIPTION
PROCESSING FE::E:
SEWER CONNECTION
PHONE-- 509 924 5485
QUANTITY FEE AMOUNT
10s00
l 40.00
if•Pi**Pi**P:•*3{•b:**••ii•Pi•Ir•*Xii•P:•Pi*Pi*P:A*•Pi*•fl* PAYMENTSUMMARY
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PAYMENT DATE RECEIPT : PAYMENT AMOUNT
06/29/92 4963 50..00
TOTAL DUE= .00 TOTAL PAID 50.00
0,0
PERMIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT
51)..00 50>00 .00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY : DOrf]:TROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD I...00ATE ANI) CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, CTAS PIPING;, WATERLINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
Pi**•x•Pi: xIc • CALL_ FOR INSPECTION PRIOR TO COVER 3i•P;••kPiPi3i•N.•Pi*if•
*•xi* •***** y' HOURNOTICE REQUIRED ; ** -Pi Pi***x
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