1992, 01-24 Permit: 91007949 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91007949 ISSUED PERMIT DATE:=: 01 /24/92 PAGE 01
•*************************** PERMIT INFORMATION ***•******.******** .*********
SITE STREET= 11 i Oo E 22ND AVE" F'ARCEi...O__ 28542-3210
21 0
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION ••- NORTH KOKOMO (91 -569)
*** SEE NOTE *3**
PLATO= 001 393 PLAT NAME== KOKOMO TOWNSITE
BLOCK= 18 LOT:- 12 ZONE= AGSUB DIST: == is
AREA= 00000000 F/A= F WIDTH= DEPTH=: 1:z°;`?•J:-:
OF BLDGS=:: i ; DWELLINGS== i WATER DIST =
OWNER== YOUNG, PAO PHONE=::
STREET= 11106 E 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & S CONSTRUCTION PHONE. NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***kR •• xk*•x**•x********•x•***** SEWER PERMIT .a**•,<AA•*il•*aar •*•kP3k • •*•hA•P.••P: :9k*•k••a•)tP••n•
CONTRACTOR== H & S CONSTRUCTION PHONE= 509 926 8964
STREET= Ii 8 1 r E VALLE.Y WAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
**tt**h**•x**x*****•***••x** •*•******• PAYMENT SUMMARY ri**•****••x**h• :•;Q•*•*•;M***...*.. *.*..*i,..**.
PAYMENT DATE RECE:(pT4 PAYMENT AMOUNT
01 /24/92 499 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 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT :1:S TO FIELD LOCATE:: AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
I.
EXCAVATION
TO LOCATE BURIED CABLE::', GAS PIPING, WATER LINES, ECT.
CAI..L BEFORE YOU DIG (45b-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE"
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•**•b:*** CALL FOR INSPECTION PRIOR TO COVER **** •tt****
•iE** **** 24 HOUR NOTICE REQUIRED *ie•****#*#a
3Erikaa3{*3i* 456••360 isn)i•hiaa#3i**
Vit§ ir**r*ri***rr} iaa n m* t** e r r*** t THANK Y
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