1992, 02-18 Permit App: 92000858 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
F'F1C)JE::CT NUMBER= EF.:=: 920008' R
APPLICATION DATE= 02/18/92 F'AGE= 01
****•x•* THIS :L • NOT A PERM:(T • •*v
PENALTIES 14ii...i._ BE ASSESSED FOR COMMENCING i1ORK iAI11iiOi..)"(' A F'E::Rr'i.i:..i.
SITE:: rSyT.REET= .'.11 r E GLENN RD PAFt°C'E ",_ 28542-3007
PERMIT USE= SEWER CONNECTION -• NORTH KOKOt`iO (92E-95)
SEE iNC:OT'E **
F.:L.A1I:= 00139`1 PLAT NAME= KOKOt"MO TOWNSITE"
Iti...00K== 14 LOT..: 13 ZONE- SFR DIST0= i::'
AREA= 00000000 i' A::: F WIDTH= DEPTH= r/W=
(:)F Bi_.I1(YS::= i w DWELLINGS= i WATER DIST =
OWNER= BAREN%, ROGER
STREET= 2117 ,S GLENN F=D
ADDRESS= SPOKANE iAif=t 99206
PHONE=
CONTACT NAME= ALWAYS ACTIVE - RON SLOAN PHONENUMBER= 509 922 8500
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A A 1 EAR=::N/A
R ;c• •x• k xi• k• •tt • * . * •tt• • •x• •x• •x r!: •tt• at h s: at• * •x a * * SEWER PERMIT * •N.• * * • * •*• * it• •!t !t •H• * A •14 h:• •k: 3I: 7t P• * * P: 9l * * * * •F: N:
CON'T'RACTOR:::: ALWAYS ACTIVE PHONi:`== 509 922 0500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 992.4
1: TEM DESCRIPTION QUANTITY FEE Ai'1OUNT
PROCESSING FEE Y 10.00
SEWER R CONNECTION 1 40.00
PERMIT TYPE F'E::E:: AMOUNT AMOUNT PAID AMOUNT OWING
SEI.4ER PERMIT 50.00 .:00 50.:01:.
50.00 .00 50.00
PROCESSED
PRIINTEI)
BY:
Ft Y :
DOMITROVICH, ROBIN
DOt- ITROVI:CH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT Ti••iE:: COUNTY
UTILITIES DEPARTMENT (456•-3604
CONTRACTOR OR APPLICANT 1S TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
E::XCAVATION.
TO LOCATE BURIED CABLES, GAS F'1F'1NG, WATER LINES, EC:T
CAL...L BEFORE YOU DIG (456-0000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONiNF:CTiON TO INSi.URE
TF•iAT THEY ARE CLEARUNOBSTRUCTED NOBSTRUJCTED TO THE SEWER MAIN
*3i**x**A* CAi...i... FOR INSPECTION PRIOR TO COVER ..%n•*a*p•A•**
**•ii •**�i•tt•* :'41 HOUR HO NOTICE REQUIRED •ii••ii-*i?•it.x.***
*k••a:*#*•'P:#R 456-3604 3604 .R. ..k•*i••* •*#
..
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