1991, 10-02 Permit: 91005681 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 is true
and correct, and authorizeo ku e Cty 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= 9i �O56Gi I%Ji/E� PERMIT DATF`''
**************************** PERMIT INFOR MATIGN ****************************
%ITE %TREET= i0722 E 20TH AVE PARCEL = 2!;:5542-2S.:)4
ADDRE%%= �POKANE WA 99206
PERMIT UJE= %EWR CONNECTION - NORTH KOKOMO
*** %EE NGTE ***
PLAT4= 00193 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= i2 LOT= ZGNE=
AREA= OOOOOOOO F/A= F WIDTH=
4:: OF BLDG%= i :I!: DWELI E =
UWNE�= %CHNEIDER PHONE=
%TREET= iO722 E 2OTH AVE
ADDREgE= %POKANE WA 99206
CONTACT NAME= ANTARTICIA CORP PHONE NUMBER= 7{.)9 `�36 �274
BUILDIN� �ETBACK : FRONT= NA LEFT= NA RIGHT= NA REAR= �A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ANiARTICIA CORPORATION PHGNE= 509
%TREET= PO BOX 13i2
ADDRE%%= %POKANE WA 992i3
ITEM DE%CRIPTION 0UNT
------------ ------------- -------- ----------
PROCE %ING FEE Y
%EWER CONNECTION
******************************* PAYMENT
PAYMENT DATE RFCEIPT� PAYmENT AMUi!��
10/02/91 7246
------------
TE= . 00 TGTAL PA7D=
PEFMIT AMOi!NT PA7D AMOUNT O!, INO
--------------- ----- -------- ------------ -------------
%EWER PERMIT 50 . 00 50 . 00
------------- ------------ ----------- --
PROCE%%ED BY : JULIE %HATTO
PRINTED JULIE �HATTG
%EWER %TUS A%-BUILT TNFGRMATIGN AVA7AT
UTILITIEJ DEPARTMENT ( 456-36O4 )
C0NTRACTGR G� APPLICAN� I� TO FIELD LGCATE �ND CGNFI�H TKE
ELFVATION AND PO%ITION %EWER %TUPRIOR T[/ 87H-rR
EXCAVATION
TO LOCATE BURIED CABLE%| ��A� PIPIN '
�EWER �TUB% ARE TG BE CHECKED TO IN%�9F
T -47 THEY ARE CLEAR AND UNOBTRUCTED TO THE FEWER MAIN
»******** CALL FOR INPECTIGN PRIOR TO COVER **********
********* 24 HOUR NOTICE REOUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************