1992, 02-28 Permit: 92000782 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 / d in it and submittedu t to compilesaid 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 OnAGENT DATE
**************************** pERMIT INFORMATION ****************************
T= i72i % PIERCE RD
�POKANE WA 992O6
CONNECTION - NORTH KOKSMO (92%-82)
OTE ***
OOPLAT NAME= KOKOMG TOWN%ITE
LOCK = 3 LGT= i3 ZONE=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH=
OF DWELLIN�%= i WATER DI%T =
OWNER= EMMER%ON VAN
%TREET= i72i % PIERCE RD
ADDRE%%= %POKANE WA 99206
C0���CT AAME= ALWAY% ACTIVE — RON %LOAN PHONF NUMBER= 5O9 922 85��
%ETBACK%: FRONT = N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** EEWER pERMIT ******************************
CONTRACTOR= ALWAY% ACTIVE
%TREET= PO BOX 14i562
ADDRE�%= %POKAE WA 99214
T.TEM DE%CRIPTION
POCE%ING FEE
%EWER CONNECTION
FEE AMOUNT
10,00
40,00 40.00
******************************* PAYMENT gUHMARY ****************************
02/28/92
BYOMITROV]
BY: DGMITRGV1
AE
i
.�V
�
PAYMENT AMOUNT
5O.00
-----
5O.00
AMOUNT OWIN�
.00
------------
.O�
INFORMATION I% AVAILABLE AT THE COUNTY
(456-36O4)
CONTRACT" IE TO
ELEVATION AND PO%ITIO� OF �EW
EXCAVATION
CALL BEFOF
YOU DI� (45�-SO�O
PRIOR TO AN'y
TKED PRI;R TO CGNNECTIDN TO IN�U�F
_, �� ,��,
.0 /�c ��w�� no�n
RED **********
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