1992, 04-13 Permit: 92001543 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 authorizeo xo County to proceed withpmvvssmu In additionI have reaand 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= 92001543 ISSUED PERMIT DATE= 04/13/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11212 E 22ND AVE PARCEL4= 28542-3208
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (92%-2O7)
*** SEE NOTE ***
PLAT�= OOOOOO PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= DEPTH= R/W=
TV• DWELLINC;%= i WATER DIET
OWNER= MCCOY, JAMES: PHONE=
STREET- 11212 E 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE - RON %LOAN PHONE NUMBER= 5O9 922 850O
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX i41562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
----------
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40 .00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/13/92 2634 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED BY : DOMITRGVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-BUILT... INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
R[EVATfON AND POSITION OF SEWER STUB PRIOR TO ANY GTHER
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 ******************** ************
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