1992, 06-05 Permit: 92003541 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 Conty to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to com / ith same.All provisions of laws and ordinances governing this type of work will be complied with whether sn/ou
herein or not.I understand that the issuance of this permit/ap /. uonunoanvnvbmo«vontmo»oouvnupvmvu/ao,00mnout000,ovvunancyohuxnmu000notmoum
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= 92003541 ISSUED PERMIT DATE= 06/05/9;2 PACE= Oi
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 10710 E 22ND AVE PARCEL�= 28542-3417
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — NOTH KOKOMO (92%-495 )
*** SEE NOTE ***
PLATt= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 2000 LOT= ii ZONE= AG%UB DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 70
0 OF BLDG%= i 0 DWELLINGS= i WATER DIET =
OWNER= KING, ROBERT PHONE=
ET
RE = i �7iO E 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******** *********************
CONTRACTOR= TLC CONSTRUCTION. PHONE= 509 927 6760
%TREET= 13816 E 12 AE
ADDRE%%= %POKANE WA 992i6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
%E�ER CONNECTION i 40 .00
****************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O6/O5/92 4240 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.0O .00
------------- ------------ ------------- �
50.00 50.00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR (IIPLICAWT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER 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 *************************** *****