1991, 03-28 Permit: 91000537 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 authorizea kane Coumoossm In addition, I have reao understandmo /wupsor/ownsomnsmsmram/oTms
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= 9i000537 ISSUED PERMIT DATE= 03/28/9' PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i920 % %KIPWORTH RD PARCEL4= 28542-2301
ADDRESS= SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 7
LOT= ZONE= AG%UB DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
41, 0F BLDG%= i DWELLIN1:;%= i WATER DI%T =
OWNER= REED, DONALD PHONE=
%TREET= 1920 % %KIPWORTH RD
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHON[ NUMBER= 509 926 8964
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA ' REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONETRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDREJ%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10,00
SEWER CONNECTION i 4OOO
^
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
03/28/91 161 50.00
------------
TOTAL DUE= `00 TOTAL PAID= 50.00
PERMIT' TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 5O`OO 50.00 .00
------------- ------------ -------------
5O.00 50.00 • .00
PROCESSED BY: JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER , TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (45 -8000)
SEWER STUBS 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 *********************************