1992, 06-08 Permit: 92004083 Sewer/ -
SPOKANE COUWU-'� DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this p*m/vunnnoatwn.um�mmmommnmm/vnoon�moumuand ovum/ooub*moonnv�ennovum,xoovmpermit/application/ true
and correct, andauthorize g. In addition, 1 have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisons ncluded herein and agree to complyth same. All provisions of laws and ordinances governing this of work will be complied with whether sn/ou
herein or not. 1 understand that the ssuance of this permit/applicationd any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancel the provisions of ny state or local Iaw regulati construction, oras a warranty of conformance with the provisions of any stateor Iocal
laws regulating construction.
SIGNATURE OF APPLICATIONOWNER OR AGENT DATE
~�
PROJECT NUMBER= 92004083
I%%UED PERMIT DATE= 06/08/92 PAGE= 01
*************************** PERMIT INFORMATION ****************************
BUI�
ITE
` /
2206 % PIE
OKANL WA !
PARCELO= 45282.3322
PERMIT USE- SEWER CONNECTION — NORTH KOKGHO (92%-577)
PLAT4= Ooi393 PLAT NAME= KOKOMG 7UWN%ITE
BLOCK= 19 Lu.- 2 UB DI%T�= F
AREA= 0000000O F/A= F WIDTH= DEPTH= R/W=
0 OF BL %= i ,ii, !JWELINu= i WATER DIST =
OWNER-
-FT=
LIVELY, DALE
22O6 % PIERCE RD
':INE WA 992O6
TACT NAME= DALE LIVELY
IN� %ETBACK%: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
PHONE= 509 924 3453
PHONE NUMBER= 509 924 3453
***************************** SEWER PERMIT ******************************
CONTRACTOR= OWNER
ITEM DESCRIPTION
----------------
PROCE%%ING FEE
SEWER CONNECTION
�HONE=
QUANTITY FEE AMOUNT
-------- ----------
Y
10,00
40,00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/08/92 4278 50.00
------------
OTAL DUE= .00 TOTAL PAID= 50.00
PE��IT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.08 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
/�OCE%%ED BY: DOMITROVICH, ROBIN
,RINTED BY: DOMITROVICH, ROBIN
3 A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
DEPARTMENT (456-3604)
TRACTOROR APPLICANT_I%_TO_FIELD LOCATE AND CONFIRM THE
PRIOR TO ANY OTHER
%EWER %TU
THAT THEY
*********
*********
*********
W
ED CABLES, GA::, PIPING, WATER LINES, ECT.,
U DI� (456-8000)
CONNECTION TO INSURE
THE %EWER MAIN
COVER *********
**********
**********
THANK YO; *********************************
JOB ADDRESS : S 220C P 1 E CC
SUBDIVISION: Co )K2 0 fl\oM) LOT: BLOCK:
OWNER: DALE Ll L/ELY PHONE: ?24-345
ADDRESS: 3 220 le7)
CONTRACTOR: / on l 6 0/L L 6 J4 / S PHONE:
ADDRESS: 1-523 ? - 33
LICENSE #: 4c7 t-4-00 -a0 r151ZE t n
INSPECTION DATE:
TYPE OF OCCUPANCY: