1991, 10-02 Permit: 91003548 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vom/vmut/huvooxummoum/onmm/vunnn000nn.mummatmomm,munonoontumoomnunuovomutouuvmoonnvagenn000mvneuuwp rmit/application is true
and correct, and authorize Spokane Conty to proceed with processing. In addition, I have read au 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= 91003548 I%EUED PERMIT DATE= 10/02/91 PAGE= Oi
**** ********************** PERMIT INFORMATION ****************************
%ITE %TREET= 11407 E 19TH AVE PARCFrL�= 28542-2ii �
ADDRESS- SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - NOPTH KOKOMO
*** EEE NOTE ***
PLATt= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= ZONE= UR-3 . 5 DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH=
4 OF BLDr:: = i 4 DWELLING%= i WATER DIET =
OWNER= GEORGE, G C PHGNE=
%TREET= 11407 E 19TH AVE
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= TLC PHONE NUMBER= 5O9 927 676O
BUILDIN� %ETBACK% : FRONT= NA LEFT= NA PEAR= NA
** ************************* %EWER PERMIT **************** ***** *******
CONTRACTOR= TLC CONTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRE%%= %POKANE WA 992i6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%INt, FEE Y 10 ,00
%EWER CONNECTION i 40 .00
***************************** PAYMENT %UMMARY ********** ******* *********
PAYMENT DATE RECEIPT:1!, PAYmENT AMOUNT
10/02/91 7i77 50 . 00
TOTAL DUE-DUE= .00 TGTAL PAID= 50 . 00
PERMIT TYPE FEE AmOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
-
SEWER PERMIT 50 . 00 50. 00 . 00
------------- ------------
"
50 , 00 50. 00 . 00
PROC %ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE oO|]NTY
UTILITIE% DEPARTMENT ( 456-3604 >
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES, ECT .
CALL BEFORE YOU DIG ( 45c-8000)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO 'INSURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE gEWFR MAIN
*** ***** CALL FOR IN%PECTION PRIOR TO COVER **********
* * * ** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************