1992, 06-04 Permit: 92002846 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 correctand authorize Skm County to proceed with processing. In addition, I have read u understandthm /wnpsormwnsoumswEwTum/oT/os
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 NUMBER= 92002846 I%%UED PERMIT DATE= 06/04/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 3118 % %KIPWORTH %T PARCE8543-55i7
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO (92%-394 )
*** EEE NOTE ***
O01393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 2300 LOT= 55 ZONE= %FR DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OW = LAUGHLIN D PHONE=
STREET= 3118 J %KI. WORTH %T
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & % CON%TRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ************************ *****
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= %POKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10. 00
SEWER CONNECTION i 4OO
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/04/92 4187 5O . 00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00
5O.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (45"-8OOO)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO :INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************