1992, 08-24 Permit: 92006756 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROAD,WAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vomfymat/huvooxummoum/apmm/vannnouoon.mutomunoomm,muuonvuntumoomnonuvuumnmuuvmoonnvagentmoomnnooumn rmit/application is true
and correct, and authorize Spokane County tu with processing. In additionI 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 w.T. APPLICATION (F.--c4 4A0-1
OWNER OR AGE DATE
PROJECT NUMBER= 92006756 ISSUED PERMIT DATE= 08/24/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 3017 % UNIVERSITY RD PARCELO= 45283. 5216
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO (92%-834)
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK- 52 LOT= 13 ZONE= UR 3.5 DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= WATER DIET =
OWNER= CROUSE, LARRY PHONE-
STREET= 3017 % UNIVERSITY RD
ADDRESS- SPOKANE WA 99206
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10, 00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/24/92 6861 50.00
TOTAL DUE=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 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DGMITROVICH , ROBIN
SEWER STUB AS-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES . .;AS PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (45�-800O)
SEWER STUBS ARE TO BE CHECKED PRIOR TG CGN ECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
**** **** 24 HOUR NGTICE REgUIRED **********
********* 456-36O4 **********
******************************** THANK YOU ******** ***********************