1992, 03-02 Permit App: 92001194 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vomf'mut/»uvooxummoum/onmm/uu»nnvanon.otammunxemm,muuonvonmmoumnanuouumntvuuvmoonnvagennovomvnooumpermit/application is true
and correct, and authorize SkCounty 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 NUMBER= 9200i194 APPLICATION DATE= 03/02/92
****** THI% I% NOT A PERMIT **** *
PENALTIE% WILL BE A%%E%%ED FOR COMMENCINO WORK WITHOUT A PFRmTT
SITE STREET-%TREET= 2925 % %KIPWORTH RD PARCELO= 2854 -4802
ADDRE%%= %POKANE WA 99206
PERMIT UsE= %EWER CONNECTION - SOUTH KOKOMG (92%-147 )
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKGMG TOWN%ITE
BLOCK= LOT= ZONE= UR-3.5 DI%TO=
AREA= F/A= F WIDTH= 92 DEPTH= R/u=
4 OF BLDO%= 4 DWELLINO%= i WATER DIET =
OWNER= WELL% ROBERT PHONE= 509 298 5�4
�
STREET- 29�5 %KI�WORTH RD
ADDRESS- SPOKANE WA 99206
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER- 509 926
BUILDINC:, FRGNT= N/A LEFT= N/A RICHT= N/A REAp= N/A
***************************** %EwER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHGNE= 5O9 926 G;64
STREET- 11817 E VALLEYWAY AVE
ADDRESS- %POKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AO!}NT
------------------------- -------- ----------
PROCE%%INi, FEE Y 10 . 00
SEWER CONNECTION
PERMIT TYPE FEE AMOUOUNT PAID AMT OWIN�
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O . 00 . 00
------------- ------------
50 ,00 50 , 00
.00 5O . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE C3owTY
UTILITIEDEPARTMENT (456-3604 )
CONTRACTOR OH APPLICANT I% TO FIELD LOCATE AND CGNFIi.,:M T��F
ELEVATION AND POSITION OF EEWER ::;!TUB PRIOR TO ANY
EXCAVATION
TO LOCATE BURIED CABLE% GAS PIPIN� , WATER iINE�, FCT .
CALL BEFORE YOU DIf; ( 45"1-8OOO )
SEWER :HUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO [NNuRi7
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWEE MAIN
********* CALL FOR INSPECTION PRIOR TO CG«ER *** ******
********* 24 HOHR NGTICE 1:::EUIRED **********
********* 456-3604 **********
******************** *** ******* THANK YOH *********************************