1992, 05-19 Permit: 92003506 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 rt 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 cy
OWNER OR AGENS� /�_, ��/� DATE S -J/ -72
PROJECT NUMBER= 92003506
ISSUED PERMIT DATE= 05/19/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2915 S DISHMAN MICA RD PARCELO= 29544-9019
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- SOUTH KOKOMO (92S--496)
*** SEE NOTE ***
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= COMM DIST = E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS:= 1 0 DWELLINGS= 1 WATER DIST =
OWNER= PRING, DONNA
STREET= 2915 S DISHMAN MICA RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 3460
CONTACT NAME= D & B EXCAVATING PHONE NUMBER= 509 467 8787
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= D & B EXCAVATING
STREET= P 0 BOX 722
ADDRESS= MEAD WA 9902i
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 467 8787
QUANTITY FEE AMOUNT
Y
1
10.00
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
05/19/92 3718 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
50.00 .00
50.00 .00
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE.
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKEI) PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************