1992, 02-12 Permit App: 92000782 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 1NL.IMDE R= 9200078 APPLICATION DATE:= 02/12/92 PAGE= Chi
****** THIS IS NOT A PERMIT ******
PENALTIES WIL..L. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
------------------------------------------------------------------------------
SITE STREET= 1721 E PIERCE RD
ADDRESS= SPOKANE WA 99206
PARCEL*= 28542-1908
PERMIT USE= SEWER CONNECTION -- NORTH KOKOMO (92S-•82)
*** SEE NOTE ***
PLATO= 00393 PLAT NAME= KOKOMO TOWNS ITE
BLOCK= 3 LOT= 13 ZONE= AGSUB DIST; = F
AREA= 00000000 F•/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= i 4 DWELLINGS= i WATER DIST
OWNER= EMMEREON VAN
STREET= 172i S PIERCE RD
ADDRESS== SPOKANE WA 99206
PHONE=
CONTACT NAME= ALWAYS ACTIVE -• RON SLOAN PHONE NUMBER== 509 922 8500
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR== N/A
*x*************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING -FEE - - ------ -r-..~--- --- 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE
---------------
SEWER PERMIT
FEE AMOUNT
-------------
50.00
-------------
50.00
AMOUNT PAID
------------
.00
------------
.00
AMOUNT OWING
--------------
50.00
-------------
50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED 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 CAF.{LE:SGAS PIPING, WATER LINES, ECT.
BEFORE YOU DIG (451-8000)
0
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
**** CALL_ FOR INSPECTION PRIOR TO COVER **********
24 HOUR NOTICE REQUIRED **********
- 456-3604
04 **********
************** ** ******** THANK YOU *********************************