1992, 03-12 Permit: 92001494 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 crect, and authorize Sxu County to voou with processing. In umu / have read and understandmo /wnpsoTmwneoumsmswTSawor/os
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 Ap,•• 1Pv APPLICATION
OWNER OR AGENTA - _ row DATE ?/*
PROJECT NUMBER= 92001494 ISSUED PERMIT DATE= 03/12/92 PAGE= Oi
**************************** PERMIT INFORMATION ******************** ** ***
%ITE %TREET= iO7i7 E 2i %T AVE PARCELO= 28542-28O9
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (923-193)
*** SEE NOTE ***
PLAT4= 00 1393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 12 LOT= ZONE= UR-3.5 DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 7O
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= TROWBRIDGE RUSSELL D PHONE= 509 922 0277
� '
STREET= 10717 E 21ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RUSSELL TRGWBRIDGE PHONE NUMBER= 509 922 0277
BUILDING SETBACKS : FRONT= NA LEFT= HA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ************************* ** *
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10 . 00
SEWER CONNECTION 40 .00
******************************* PAYMENT SUMMARY ***************** *********
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
03/12/92 i672 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ .
SEWER PERMIT 50.00 50.00 .00
------------- ------------
50 ,00 50,00 5O.O0 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3684)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM 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 **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ***** ***** *** ****************