1991, 10-02 Permit: 91004952 Sewer SPOKANE 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 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
5:PrikAW: WA ..
PERMIT SEWER CONNECTION — SOUTH KOKOMO
AREA- 00000000 ...
.c:PriVANF WA 992 (f,
CONTACT NAME- DONNA COURCHAINE PHONE NUMBER= 509 ?2.4 5487
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SETBACKS : FRONT= NA LEFT- NA RIGHT= NA REAR., NA
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uuUHCHAINE ... : ... .... ...?!..!. ... ... ., ... ...
ADDREES= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
•
PROCESSING FEE 10 , 00
EEWER CONNECTION 40, 00
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pAymENT
10/02/91 50 , 00
................................................
TOTAL DUE= ,00 TOTAL PAID= 50, 00
PERMIT TYPE AMUUNi AMOUNI HAD) AMOUNT OWING
ELER I...:P'.... '. 70 ,. 00 50 ,00
SEWER ETUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
CONTRACTOR OR APPLICANT TS TO
LOCATE AND CONFIRM THE
ELEVATION AND POSITION SEWER i!_<
OF PRIOR TO ANY OTHER
ExCAvATION
TO LOCATE BURIED CABLES : GAS PIPING, WATER LINES , ECT ,
CALL BEFORE YOU ;i
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR INSPEM. ION PRIOR - :}}:: .;i.:Ij.: .ij.:..;j..;}•.::j.
24 HOUR I , :.. REQUIRED