1992, 06-04 Permit: 92002783 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 correctand authorize Sm, County to proceed with processing. In addition, I have read o understandm 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 ORAGENT DATE
PROJECT NUMBER= 92002783
I%%UED PERMIT DATE= 06/04/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
I::
JTREET= 24O8 % PIER[
ADD RE%%= %POKANE WA ,
RD
PARCELO= 28543-2701
RMIT USE= SEWER CONNECTION - NORTH KOKOMO (92%-384)
*** SEE NOTE ***
Pl. AT0= OOi393 PLAT NAME= KOKOMO TOWN%I
LOCKTE
B= 27 LOT= ZONE= A�%UB DI%TO=
i= 00000000 F/A= F WIDTH= DEPTH=
0 OF BLD�%= i � DWELLINU= WIDTH=
DIET =-
OWNER= MATHI%, L
%TRE'El= 2408 % PIERCE RD
ADI RE%%= %POKANE WA 99206
PHONE=
R/W=
_CONTACTNAME= H &% NU
CONSTRUCTION PHONE MBER= 509 926 8964
AR= N/A
BUILDING %ETBACK%: FRONT= N/A LEFT= N/A RIGHT= N/A
**************************** %EWER PERMIT ******************************
CONTRAC
~-~
H&
ii8i,
%POKA�[
%TRUCTION
EYWAY AVE
WA c�206
ITEM DESCRIPTION
PROCESSING FEE
FEE
%EWER CONNECTION
******************************
PAYMENT DATE
06/O4/92
TOTAL DUE=
PERMIT TYPE
--------------- --
%EWER PERMIT
PROCE%
PRIN
QUANTITY
PAYMENT %UMMARY
PHONE- 5O9 926 8964
FEE AMOUNT
10.00
40,00 4O.00
****************************
RECEIPTO PAYMENT AMOUNl
4187 50,00
------------
.00 TOTAL PAID= 50.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
50,00 50,00 5O.00 .00
----------- ------------
50,00 50,00 5O.00 .00
BY: DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
WcR JTUB r�A% BUILT IN -- -
TTE% DEPARTMENT
CONTRACTOR OR APPLICANT I%
ELEVATION AND POSITION OF '
EXCAVATION
ON I% AVAILABLE AT THE COUNTY
40
ELD LOCATE
%TUB PRIOR
0 CONFIRM THE
ANY OTHER
TO LOCATE BURIED CABLES, GAS PIPING' WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
EEWER STUBS ARE TO BE
ruur rw�; un7 r����
' '' ' ' ' '^ ' ~'`^
********* CALL ,
********* 24
*********
TION TO IN%URE
}ER MAIN
**********
**********
**********
4
`******************************* THANK YOU *********************************