1991, 10-02 Permit: 91004696 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99200
(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 moeo /m processing. In nmu I have read and understandm 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= 91004696 ISSUED PERMIT DATE= 10/02/91 PAr::F= Oi
**************************** PERMIT INFORMATION ******************* ********
SITE %TREET= 11006 E 22ND AVE PARCELO= 28542-3328
ADDRE%%= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE * *
PLATO= 001393 PLAT NAME= KQKOMO TOWN%ITE
BLOCK= 14 LOT= ZONE= AG%UB DI%T4= F
AREA= 00000000 F/A= F WIDTH=
0 OF BLDG%= i 0 DWELLINGE= i WATER DIET =
OWNER= HOLpUIN PHONE=
�
STREET= 1 .1006 E 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TLC PHONE NUMBER= 5O9 �27 6760
BUILDING %ET3ACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRE%%= SPOKANE WA 992.16
ITEM DE%CRIPTION QUANTITY FEE AMGONT
------------------------- --------
PROCESSING EEE FEE Y 10, 00
SEWER CONNECTION i 40.00
*************** ************** PAYMENT ;:::UMMAHY ****************************
PAYMENT DATE F;.!ECEIPTPAYMENT AMOUNT
10/02/91 7173 50 . 00
lijiAL DUE=DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOHNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 . 00 50.00 . 00
------------- ------------ -------------
50 .O0 5O .00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUG PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING , WATER iINE '
ECT .
CALL BEFORE YOU DIG ( 45"-8OOO)
SEWER STUBS ARE TO DE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 4 HOUR NOTEQUIRED **********
********* 456-3604 **********
**** ** ** ********************* THANK YOU ****************************** *