1992, 03-02 Permit App: 92001198 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 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 Ntt t,;i i:::: 92001198 :".t: ..:'
DATE= E:::: 0,'7:'02:'T2 PAGE= 01
ii it i4 •N:• it• •J+: ;HIS IS NOT A PERMIT
. ......
PENALTIES WILL BE ASSESSED i:0R COMMENCING WORK WITHOUT O1...• A PERMIT
S:t:TE. STREET= 11203 E —ND AVE
!At JT;F°ESC':. SPOKANE :,i(••i 99206
PARCELO= 28542-3214
PERMIT
„c•r„SEWER wONNEC T ION _ NORTH H KJKOMO
i{• •h:• it• NOTE * •P ,
.Jt.
BLOCK=
y
AREA=
OF BI...I)tx,.4:::.
OWNER'-:
STREET=
001393PLAT I NAI` E::::
18 LOT=
00000000 F/A=
DWL.t...i....i.N(s:'t::::
K.1NC::AIDJ23RD
SUSAN
11203 E:. . h N!: ! J t-[ `d I".
SPOKANE WA 99206
KOKOMO TOWNSITE
19 ZONE.:::: AC;S.1J:;
F WIDTH-::
?
WATER DIST
C C)i . t Atm I NAME= ALWAYS ACTIVE rC...! OF, PHONE NUMBER= IB :.R= 50 J' 922 C{5 0
BUILDING SETBACKS: FRONT= r / LEFT= N/A RIGHT= N/A REAR= r : A
•) * i' * .h..)k iC * * . i:; it ih K• }t:• iG Y:• •. R• * * it• Jt 7t• * b:• il• N. )•: SEWER ::E.:R+.'"ii.- • N: P: ih .» }t: 'A• it- i}: tt: lt: ii' P. * •P• * fit. li..'p•... rt; • ; •i * P: 'tt: * •.'t• •i,: *
CONTRACTOR= f 9i...WAr,',• ACTIVE
STREET= PO.BOX 14156:
ADDRESS= S?-`?..il<.r't?dl:: WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
PROCESSED
PRINTED
F E E AMOUNT
BY: DOMI•T'R'OVICH,
BY: UCF!"!1.1Ft.i `1.C;I-t,
50,00
50,00
ROBIN
ROBIN
PHONE= 509 922 G500
QUANTITY FEE AMOUNT
1 0:.00
40.00
AMOUNT PAID AMOUNT OWING,
-------------
„00 50,00
,00 50,00
SEWER STUB AS—BUILT INFORMATION :rvk AVAILABLE AT THE COUNTYUTILITIES DEPARTMENT L•tf..r6.....Z6L;, 4 t
CONTRACTOR OR OR APPLICANT IC:r'iN i 1.' f t_:
ELEVATION POSITION (_ ,..:
,� ?::. ua ?::. r'•.
EXCAVATION
t t..l
Cii.:ATE:: AND CONFIRM TETE
PRIOR t fO ANY ''7: -I E:. R
TO LOCATE .iU!'ti1.E.CABLES, GAS PIPING, WATER LINES, ECT,
,
(456-800—
SEWER STUBS ARE TO BE CHECKED PRIOR ? C CONNECTION TO INSURE
THAT f I ?Er ARE CLEAR A !N? 1? UNOBSTRUCTED TO i i i"I ?::. SEWER ; 'i r a 1, ;
*itit-s:•a *ieii•ii• CALL FOR INSPECTION PRIOR ! O COVER -'J+;**n:i(•it iiiki!:•a.
,.. .
. 3 3L• 9L• : J ::.: =. HOUR ) .?. REQUIRED 7t' ii 1}• :k• !(. iR iti -N• ii P•
456—: ..,
)i.:J(.:Jl.:J{.:� :S� �,: i�.:p. _,,'.".'t {•t .t'� 9'• 9i• fl. ii: it •A• ti h. •F• N.
1 i ) } ; } a4k}}S:::: * .k : :)iTHANK ' (iiiiiE iK i » iiiiizt ii iiii#iuir *i