1992, 04-13 Permit: 92001542 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 mnoou with processing. 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 Certif icates 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= 92001542 I%%UED PERMIT DATE= 04/13/92 PAE=
**************************** PERMIT INFORMATION ************* **************
SITE STREET= 1i215 E 22ND AVE PARCELO= 28542-3112
ADDRE%%= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (92%-206)
*** SEE NOTE ***
PLAT4= 00.1393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= i500 LOT= 22 ZONE= AG%UB DI%T4=
AREA= F/A= F WIDTH= 75 DEPTH= 130 R/W=
4 OF BLDG%= 4 DWELLINGS= i WATER DIET =
OWNER= ETEMM, PAT PHONE= 509 924 0707
STREET= 1i215 E 22ND AVE
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE - RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAY% ACTIVE PHONE= 509 922 85OO
STREET= PO BOX 141562
ADDRE%%= SPOKANE WA 992.14
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE FEE Y 10 .00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/i3/92 2634 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50. 00 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED By : DGMITRGVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABiE% GAS PIPING , WATER iINE%, ECT .
CALL BEFORE YOU DIG (451-800O)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR II,%PECT ON PRIOR TO COVER **********
**** **** 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************