1991, 10-02 Permit: 91001826 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/certify that/have examined this ppm/vannnvuonn.state that the information contained mnand submitted»vmoomyagent ocompile ou.0v o nvn/ntmo
and correct, and authorize Spokane County to proceed with processing. Inaddition, I havereadINSPECTION
�/nEME
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= 91001026 I %UED PERMIT DATE= 10/02/91 PAGE- 01
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 1i415 E 18TH AVE PARCEL4= 28542-2008
...................... .... ............... ..... . .2O6
PERMIT U%E= %EWER CONNECTION - KOKOMO
*** EEL NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK,, 4 LOT= ZONE= AG%UB
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLING%= 1 WATER DIET =
OWNER= OVERMAN, ROGER D PHONE= 509 926 9999
%TREET= 11415 E 18TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= TLC CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING %ETBACK% � FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CON%TRUCTION PHONE= 509 927 6760
%TREET= 13816 E 12TH AVE
ADDRE%%= %POKANE WA 99216
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- ----- -- ----------
PRGCE %INu FEE Y 10,. 00
SEWER CONNECTION i 4O . 00
************** ************
PAYMENT DATE RECEIPT,!!.. PAYMENT AMOUNT
10/02/91 7181 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMGUNT PAID A*OUNT OWING
--------------- ------------- ------------ --- --------
EEWER PERMIT 50. 00 50 . 00
------------- ------------
50 ,00 50 , 00
5O . 00
PROCE%%FD BY : JULIE %HATTO
PRINTED BY : JULIE EHATTO
%EWE� EToB A%-BUILT INFORMATION I% AVAILABLE AT THE CGUNTY
UTILITIE% DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CGNFIRM THE
ELEVATION AND PO=TION OF %EWER .'::TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GA% PIPINGWATER iINE% ECT
CALL BEFORE YOU DIG ( 45 -8OOO) ' ' ^
�EWER %TUB% ARE T 3E CHECKED PRIOR TO CONNECTION TC INIURF
THAT THEY ARE CLEAR AND (!NOB%TR CTED TO THE %EWFR MAIN
FOR.CALL OR IN%PECTION PRIG� TO COVER �*��**K��**
********* 24 HOUR NOTICE REQUIRED **********
******************************** THANK YOU *** ******* ********************p