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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: