1991, 10-29 Permit: 91007353 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 permit/applicationis true
and correct, and authorize Spokane County to proceed 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 APPLICATION
OWNER OR AGENT 444.44 "11,
DATE /61/Z9/9/
PROJECT NUMBER- 91007353 ISSUED PERMIT DATE= 10/29/91 PAGE= Oi
*** ** ** ********* ******** PERMIT INFORmATION ****************************
%ITE STREET- 11117 E 18TH AVE PARCEL0= 28542-1910
ADDRESS= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** EEE NOTE ***
PLATt= 001393 PLAT NAME= KGKOMG TOWN%ITE
BLOCK= 3 LOT= ZONE= A�%UB
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDC%= i 4 DWELLINGS= i WATER DIET =
OWNER= %MITH, DORIS M PHONE= 509 926 6120
STREET- 11117 E 18TH AVE
ADDRESS- SPOKANE WA 99206
CONTACT NAME= DORI% SMITH PHONE NUMBER= 509 926 6i20
BUILDIN� %ETBACK% FRONT= NA LEFT= NA �I�HT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10,00
%EWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATF RECEIPT4 PAYMENT AMGLiNT
10/29/91 8141 50 .00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID A�OUNT OWING
--------------- ------------- ------------ --'----------
%EWER PERMIT 50.00 50 .00 ^00
-------- -
50,00
--------5O.00 50.00 ^ 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456- 604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
LEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLESGA% PIPINu , WATER LINES , ECT.
CALL BEFORE YOU DIG (451-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO JN%URE
THAT THEY ARE CLEAR AND UNOBETRUCTED TO THE EEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER ******** *
** ****** 24 HOUR NOTICE REQUIRED **********
********* 456- 604 **********
********* ********************** THANK YOU *********************************