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1992, 05-19 Permit App: 92003526 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 NUMBER= 92003526 APPLICATION DATE= 05/19/92 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2321 S PIERCE RD ADDRESS= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (92S-479) *** SEE NOTE *** PARCEL4= 28542-3721 PLAT4= BLOCK= AREA= OF BLDGS= OWNER= STREET= ADDRESS= 00 1393 PLAT NAME= 23 LOT= 00000000 F/A= 1 4 DWELLINGS= PONTING, C 2321 S PIERCE RD SPOKANE WA 99206 KOKOMO N%ITE 13ZONE= AGSUB BIET4= F F WIDTH= DEPTH= R/W= i WATER DIST = PHONE= CONTACT NAME= ALWAYS ACTIVE - RON SLOAN PHONE NUMBER= 509 BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ***************************** SEWER PERMIT CONTRACTOR= ALWAYS ACTIVE STREET= PO BOX 141562 ADDRESS= SPOKANE WA 9,214 ITEM DESCRIPTION PROCESSING FEE SEWER CONNECTION . PERMIT TYPE SEWER PERMIT PROCESSED PRINTED FEE AMOUNT 50.00 50.00 5O.00 922 8500 ****************************** PHONE= 509 922 8500 QUANTITY FEE AMOUNT 10,00 40.00 AMOUNT OWING AMOUNT PAID - ---------- .00 .00 50.00 50.00 BY: BY: DOMITROVICH, ROBIN BY: DOMITROVICH, ROBIN SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND 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 TO CONNECTION TO INSURE THAT THEY ARE CLEAR AND %T C D TO THE SEWER MAIN ********* CALL FOR INSPECTION PRIOR TO COVER ********** ********* 24 HOUR NOTICE REQUIRED ********** ********* 456-3604 ********** ******************************** THANK YOU *********************************