1991, 08-19 Permit: 91005111 Sewer SPOKANE COUNTY DEPARTMENTOF 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 mv000 with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with sa - . ovisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of •' .ermi affislywti.n. d any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the prov' .ns of a -gulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
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SIGNATURE OF APPLICATION
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OWNER oRAGENT DATE
by/
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/
PROJECi NUMBER= 91005111 ISSUED PERMIT DATE= 08/19/91 PAGE= 01
******** ******************* PERMIT INFORMATION ****************************
SITE %TREET= 11422 E 23RD AVE P28542-3822
ADDRESS= SPOKANE WA 99206
PERMIT U%E= %EWER CONNECTION - NORTH KOKOMG
*** %EE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= T= ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= 88 DEPTH= 130 R/W=
4 OF BLDG%= ELLINr.;%= i WATER DIST =
OWNER= OWEN . DONALDPHONE= 509 922 3025
STREET= 11422 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RAY SHORT PHONE NUMBER= 509 928 2471
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 2.471
STREET= 9116 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 18.O0
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ********************* **** *
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/19/91 5781 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
| --------------- ------------- ------------ ------------- |
SEWER PERMIT 50.00 50.08 .00
------------- ------------
50 ,00 50.00 5O.00 .00
PROCEED BY : WENDEL, GLORIA
PRINTED BY � WENDEL, �LORIA
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, GAS PIPING, WAiER LINES, ECT.
CALL BEFORE YOU DIG (45 -800O)
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 *********************************