1992, 07-28 Permit: 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 con/ d in it and submitted»v me or my agent ./ 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
ISSUED PERMIT DATE= 07/28/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2321 % PIERCE RD
ADDRESS= SPOKANE WA 992O6
PAR45282.372i
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (92%-479)
*** SEE NOTE ***
PL T4= 00i393 PLAT NAME= KOKOMG TOW,%
BLOCK= 23 LOT= 13 ZONE=
AREA= OOOOOOOO F/A= F WIDTH=
OF BLDG%= i 4 DWELLINGS= i WATER
OWNER= PONTING, C
STREET= 2321 % PIERCE RD
DDRE%%=
SPOKANE WA 99206
DI%T4=
DEPTH=
=
TACT NAME= ALWAYS ACTIVE - RON %LOANPHONE NUMBER= 509
IN�
SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
R/W=
922
8500
***************************** %EwER PERHIT ******************************
CONTRACTOR= ALWAYS ACTT
STREET- PO BOX1415
ADDRESS- SPOKANE WA 99
ITEM DESCRIPTION
---------------
FRucE"TING FEE
FEE
SEWER CONNECTION
214
�uon1±//
PHONE= 509 922 8500
FEE AMOUNT
----------
iO.00
40,00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
O7/28/92
TOTAL DUE=
PERMIT TYPE
---------------
SEWER PERMIT
RECEIPTO
R3526
.00 TOTAL PAID=
FEE AMOUNT
50,00
50.00 -------------
5O.00
BY: DGMITROVICH, ROBIN
BY� DOMITROVICH, ROBIN
PAYMENT AMOUNT
5O ... O0
------------
... 0O
AMOUNT PAID AMOUNT OWING
50.00
STUB AS -BUILT INFORMATION IS AVAILABLE AT
UTILITTES DEPARTMENT (456-3604)
.00
-
--
.00
COUNTY
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELE-ATION AND POSIT' ON OF SEWER E PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPINGWATER LINES, ECT.
' '
CALL BEFORE YOU DIG (45"-8OO�)
SEWER STUBS ARE TO BE
THAT THEY ARE CLEAR AN
********* CALL FOR 'INS
********* 24 HOUR
********* 456-
7O CONNECTION TO INSURE
TO THE SEWER MAIN
R CO COVER **********
QU[RED *** if:
******
if: if: *** if: if: if: **
******************************** THANK YOu ********************************