1992, 04-27 Permit App: 92002846 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vo,nfymut/»uvooxom/noum/operm/vvn»nounon.otutomunxomm,munonvontomoumnanuoubmnmuuvmoonnvagenn000mpnooump rmit/application is true
and correctand authorize Sx County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
prov!sions included herein and agree to complyith same.All provisions of laws and ordinances governing this of work will be complied with whether sn/,m
herein or not.I understand that the issuance of this permit/ap // uonunuunvouuvonuontmonomionunnnvu/oor 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
PROJECT NUMBER= 92002846 APPLICATION DATE= 84/ PAGE= 01
****** THIS I% NOT A PERMIT ******
PENALTIES WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
SliE SiREET=%TREET= 3118 % %KIPWORTH %T PARCELO= 28543-5517
ADDRE%%= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - %OUTH KOKOMO (92%-394 )
*** EEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 2300 LOT= 55 ZONE= %FR DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W= 50
4 OF BLDG%= i 0 DWELLING%= i WATER DIST =
OWNER= MCLAUGHLIN D PHONE=
%TREET= 3i18 % %KI6W RTH %T
ADDRE%%= %POKANE 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
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET- 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y iO.00
%EWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------
%EWER PERMIT 50.00 .00 50. 00
------------- ------------
50,00 .00.O0 50.00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER %TUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, �A% PIPING, WATER LINE% ECT
' ' ^
CALL BEFORE YOU DIG ( 456-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECT ON PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************