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 *********************************