1992, 06-15 Permit App: 92004338 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE 1
SPOKANE,WASHINGTON 99260
(509)456-3675 said 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 Certif icates 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= 92004338 APPLICATION DATE= 06/15/92 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
------------------------------
SITE STREET= 11206 E 19TH AVE PARCEL4= 45282.2304
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (92%-607)
*** SEE NOTE ***
PLAT41:= 00i393 PLAT NAME= KGKOMGOTOWN%ITE DI%T�= F
BLOCK= 7 LOT= 6 ZONE= ^r�5 DEpTH= 130 R/�=
AREA= OOOOOOOO DWELiIF/A= F jWIDTH�WATER �I%T =
� OF BLD��= � � ' '`""
OWNER= JAMES' ROLAND F PHONE= 509 928 6301
STREET= 11206 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & s CONSTRUCTION PHONE NUMBER= 509 928 8964
N/A RIGHT= N/A REAR= N/A
BUILDING SETBACKS : FRONT= N/A LEFT=
***************************** SEWER PERMIT ******************************
CONTRACTOR=R= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
---------------------- iO ^0O
---
PROCESSING FEE � •
4O .00
SEWER CONNECTION
PERMIT TYPE FEE AMOUNT_ AMOUNT PAID AMOUNT OWING
-- ------------
--
SEWER PERMIT ^-----------
5O OO ^00 50 ,00
----------- 0O
50.00 .00 50 ,00
PROCESSED BY1 DGMITROVICH, ROBIN
PRINTED BY � DGMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
AOR APPLICANT
POSITIONOI%%TGER FIELDBLOCATE AND
PRIOR TOANY CONFIRMRTHE
ND
ELEVATIONEXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , ECT ,
CALL BEFORE YOU DIG (456-2000)
SEWER STUBS ARE TO BE CHECKED
PR T GCONHECTION TO INSURE
THAT THEY ARE CLEAR ANDUNOBSTRUCTED T� CRTHE ~EWER��*��*�*
********* CALL FOR INSPECTIONRPRIOREDv ",E ********
********* 24 HGUR �OTI�� ��uIx ��********
********* 456-36O4
******************************** THANK YOU ********************* **********
.