1991, 10-02 Permit: 91005318 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 umo I have read u 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= 910053i8 PERMIT DATE- i0/02/91
**************************** PERMIT INFORMATION ****************************
SITE %TREET= i0913 E 18TH AVE PARCEL -
ADDRESS- %POKANE WA 99206
PERMIT USE- SEWER CONNECTION — NORTH KOKOMO
* * EEE NOTE ***
PLAT�= 002393 ACRE% i %T ADft:
BLOCK= LOT= ZONE= AG%UB DI%T41:=
AREA= OOOOOOOO F/A= F WIDTH= DFpTH= R/�= rO
41 OF BLDG%= DWELLING%= i WATER DIET =
OWNER= CWEN%, .::'COTT PHONE=
%TREE�= i09i3 E i8TH AVE
ADDRE,"c'%= SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 P964
BUILDING %ETBACKEI FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER RLR�IT ******************************
CONTRACTOR= H & % CON :,7RUCTION PHONE= 509 926 8964
�TREET= E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE
FEE 10 , 00
%EWER CONNECTION 4 40 . 00
******************************* PAYmENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYmENT AMOUNT
10/02/91 7217
TOTAL DUE-DUE= . 00 TOTAL RAID= 50 . 0��
PERMIT TYPE FEE AMOUN ; AMOUNT PAID AMOUNT GWlN�
::EWER PERMIT 5O. .00 . 00
------------- ------------
50, 00 70 ,00
5O .O0
PROCEgEED 3Y : JULIE %HATTO
PRINTED BY JULIE SHATTO
SEWER %TUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CGNTRACTO� OR APPLICANT l% TO FIELD LOCATE AND CONFI�M �HE
ELEVATION AND PO:.: ITION %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE RURIED PTP-1- 11: WATER LINE% ECT .
CALL BEFORE YOU DIC:, ( 456-8000 )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INURF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE :::EWFR MAIN
********* CALL FOR INSPECTION PRIOR TO COYER ****** ***
********* 456-3604 ******* *