1992, 04-13 Permit: 92001541 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 Spokane Coty to proceed with processing. In omn I have read o 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= 9200i541 ISSUED PERMIT DATE= 04/13/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11209 E 22ND AVE PARCEL4= 28542-3121
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO (92%-205)
*** SEE NOTE ***
PLAT-0= 001393 PLAT NAME= KOKOMO TGWN%ITE
BLOCK= 15 LOT= 21 ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= HERBIG, H H PHONE=
STREET= 11209 E 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE — RON %LOAN PHONE NUMBER= 5O9 922 85OO
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 5O9 922 8500
STREET= PO BOX 1 .141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO .00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPPAYMENT AMOUNT
O4/i3/92 2634 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 5O.Oc)
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50 ,00 5O .00 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DGMITRGVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES 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 , GAJ PIPINGWATER LINES, ECT .
' 1 ' '
CALL BEFORE YOU DIG (45"-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO JN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
* ****************************** THANK YOU *********************************