1992, 04-13 Permit: 92001539 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
PROjECT NUMBER= '%.;:t:i!yJ-3 -, 1';�';�.`i-i F.+'i PERMIT DATE= 04/13/92 {.:t::t'i,E::.=• 01
tl:*i?•t+:*:+•9!:*9 **it'Y+:*N:*!i•)t•*9?-i!'****9•`.it-1`: PERMIT INFORMATION i?•iL*1 **A:1:•9t•R•*fi;1(** *:?-fit:+:-:1:!-1?-F::u:.l;.:$
SITE : t. tt : 2607 SKIPWORTH „ dFri
. tI..e" 2R543- 1A
ADDRESS=S••- :.:F'?1!<.ANE WA 99:::0
PERMIT ?.!:'s.::•=: ,::I::..<.+!':.:': CONNECTION SOUTH rt '..i_i:t_jl"O (92S-203)
i
•Jf:!F i SEE N.?.+ I t::. is 3E:1;.
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 33 LOT= ZONE= UR3„5 DIST4=
AREA= 00000000 I F/A= +.. WIDTH=r'= t EPiH= r::/ t,,:::::
4 OF BLDG:.::::: t Ir DWELLINGS= ! WATER DIET
OWNER= tifiL..F:.Mii!` , A.i ) PHONE=
STREET=I:.L T 2607 ,:r Is, i P WORTH F•.'i,''
ADDRESS= t1. I::. WA 99206
CONTACT NAME= ALWAYS ACTIVE .... RON SLOAN .'HONE NUMBER= :il:'''. .
BUILDING `E 1 t i Fi?.:I<:S : FRONT= i'v.:fAi LEFT= N/A RIGHT= N/A REAR= N/A
'h:•11:'it k.:Jt•*:Ik it:Yi)t•*i+:•i1..A...it N:9t•$:*3 **k...:p::R:N. SEWER „ E", t # P } t$ ANk k iNARR$ i NH1 i 1 t1Y? A1k 1Pi
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500,......-.
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM I•'DESCRIPTION 1 [ QUANTITY FEE AMOUNT
PROCESSING E E '7• 10,00
SEWER CONNECTION 40,00
) { :? PP4 4 :1Rk t*9t*9k i ] * k{ 4*P : l t tPAYMENT
AYtiiN- S( AxY ************w***************
PAYMENT DATE E R'.E?.:F I.I'' O PAYMENT AMOUNT
04/13/92 2634 50,00
TOTAL DUE::_ „00 TOTAL I fA{L f••sID E30 . 00
PERMIT TYPE :'EE AMOUNT! AI I?..UN ! PAID AMOUNT; i_i14i,tNi,,
SEWER PERMIT 50.00 50,00 00
50,00 50,00 , 00
PROCESSED BY : ;,li,+(''II. t t'':?.?ti.I.?.H : ROBIN
PRINTED BY :: .if iiiI i Ri:?ti?.OH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT
THE COUNTY
J";-•,:
UTILITIES DEPARTMENT (456-3604)
4
CONTRACTOR ?.!';. APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE::. BUI••:IED CABLES, GAS PIPING, WATER ER LINE,:: ; ECT ,
CALL BEFORE
YOU DIG (456-8000)
SEWER : i !? : ARE TO BE CHECKED "R iR TO CONNECTION INSURE
i
! ± _; ARE CLEAR ; N ; UNOBSTRUCTED i _
THE SEWER MAIN
•i+:1+:•ih}!:'11:t+::d':+l•R• CALL h INSPECTION 'FLOr TO COVER K: : a; :
:II'U j:II..i:..i.P i!.4' 24 HOUR NOTICE REQUIRED .I, 41.1!:1t•1!:1t'1!::!t'11...1:.
,4******* 456-3604 Pi-Pi-i!ii+r'Pii+!:1!ii!ii+:
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