1992, 01-13 Permit: 91008021 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 t / d in it and submittedu t to compilesaid 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 OnAGENT DATE
PROJECT NUMBER= 9iOO8O21 ISSUED PERMIT DATE= 01 /13/92 PAGE= 01
**************************** pERMIT INFGRMATION ****************************
%ITE STREET= 1i120 E 19TH AVE PA�CEL�= 28542-2�O5
ADDRE%%= %POKANE WA 992O6
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (91 -%60 )
*** SEE NOTE ***
Pi ATz= 0Oi393 PLAT NAME= KOKOMG TOWN%ITE
BLOCK= 7 LGT= 8 R DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i i WATER DIST =
OWNER= COOK ROBERT PHONE=
STREET= 1112" E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE PHONE NUMBER= 509 922 1500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHGNE= 5O� 922 85OO
STREET= PO BOX 141562
%POKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMO;NT
------------------------- --------PROCESSING FEE FEE Y iO . 00
SEWER CONNECTION 46. 00
******************************* PAYMENT %UMMARY ************* ******* ****
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
Oi /i3/92 0229
TOTAL DUE=DUE= . 00 TOTAL PAID= 5O. O0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 . 00 . 0O
------------- ------------
50 ,00 50 ,00 50 .0O . 00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COiiNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CSNFIHM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES , ECT .
CALL BEFORE YOU DIG ( 456-8000 )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER *** ******
***** EQUIRED **********
****** ** 456-3604 **********
*** **** ********* * ******** ** THANK YOU *********************************