1992, 03-17 Permit: 92001477 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 correctand authorize Sokane 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92001477 ISSUED PERMIT DATE- 03/17/92 PAGE- Oi
****************** ******** PERMIT INF(lRMATIGN ************* * **********
%ITE STREET= 11407 E 17TH AVE PARCELO= 28542-1714
ADDRESS- SPOKANE WA 99206
PERMIT USE- %EWWER CONNECTION - NORTH KOKGMO ( 92%-190 )
*** EEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK- i LOT= 20 ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH=
4 OF BLDG%= 1 4 DWELLING%= i WATER DIET =
OWNER= FRY MICHAEL E PHONE=
%TREET= 11407 E i7TH AVE
ADDRESS- SPOKANE WA 99206
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= N/A LEFT= N/A N/A REAR= N/A
***************************** %EWER pERMIT ********** * ****************
CONTRACTOR= TLC CON%TRUCTION PHONE= 509 927 6760
STREET- 13816 E 12TH AVE
ADDRESS- SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMO(/NT
----------------------- -------- ----------
PROCE%%ING FEE Y iO . 00
%EWER CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****************** ********
PAYMENT DATE RECEIPT4 PAYMENT AMouNT
03/17/92 1775 5O.00
TOTAL DUE-DUE= . 00 TOTAL PAID= 50. 0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.OO . 00
------------- ------------
50 ,00 50 .00 5O .00 . 00
PROCESSED BYDOMITROVICH , ROBIN
PRINTED BY : DGMITROVICH, ROBIN
SEWER ETU): INFuRMATiGN AVAILABLE AT THE COUNTY
UTILITIES }EPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% 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 .
CAL: YOU DI� ( 45"-GOOO)
%EwER %TUB% ARE 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- 604 **********
******************************** THANK YGu ******* ************************