1992, 03-27 Permit: 91004359 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 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. ,/,�/,��� �r���
SIGNATURE GO �/ / �!���ir J „' DATE APPLICATION
OWNER OR AGENT jV
PROJECT NUMBER= 91004359 ISSUED PERMIT DATE= 03/27/92 PAGE= 01
*•*:***•***•yt******•*#******* •*•**• PERMIT INFORMATION ******* a ** • • • • • •* k* • •* - • •
SITE ! '{EI-T=:: 10907 E. 21ST S AVE:. F''i~tR .,EE...4= 28542-270
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION •"' NORTH KOKOMO
*** SEE NOTE ***
PLATT,— 00991 PLAT NAME= 4OK MO TOWNS I t
F
BLOCK= LOT=
ZONE= AG:NB PT 1'e' F'
AREA::- 00000000 I /A= F WIDTH= DEPTH= l,/W=
:: OF BLDGS== 4 DWELLINGS= WATER DI ST --
OWNER== HUBE::RT , BOB PHONE=:: 509 926 56.7
STREET= 10901 E:. 21ST A E.'.
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDERTON PHONE:: NUMBER= 509 922 4594
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT== NA REAR:= NA
•!t•A:){iF*'P:•P.'•sl•*!l A 3l•it*•P:•R*It'A iG 3l••}{•3k•}{ih&•}{•P:•)k SEWER »' :. tM.. k # •}l•ik#:•R ii•')k •i+}i*•k't•*•*•# -* .••N• •* :x ii••b:•ii*•
CONTRACTOR= A PLUS CONSTRUCTION PHONE= 509 922 4594
;STREET=:: PO BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 40.00
k ii*•* k **#*--}c*m:•k*M*****•R*••k•h:*•*ii#. : PAY 1 i E:.N T SUMMARY *•ii•ri#*ii•• ri*ie**3i•h:•*ii*k••ii•a:r.•***x•h:* •
PAYMENT DATE RECEIPT:;* PAYMENT AMOUNT
03/27/92 2114 50.00
------------
TOTAL. DUE= .00 TOTAL. PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .50:01 .00
50.00 5:?0,.00 ..00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVIC:H, ROBIN
SEWER STUB AS--BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES IES DEPARTMENT (456-3604)
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 *** ** *
*•iii ***•*** 24 HOUR NOTICE REQUIRED *•ii•*•##3i•ir***
456-3604 •}i•ii***3i**-ah
ririii*• ••}i•i>:ii*9i•****riii•*ie• :ii••}ik•****•}t#ai•ii•* THANK YOU * '*********•********************* i•