1991, 10-02 Permit: 91003889 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
" :—:tC NUMBER=
"st"_7:-i:-ISSUED
eS__.PERMIT D?!i•I :%l: . .
j PAGE= t:jj
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PERMIT
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ITE STREET=
ADDRESS= SPOKANE WA 99 206
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO
PLATO= !,J'•:7'?, !'a:„, PLAT NAME= ?;. !.! :!: l.. i M ,... TOWNSITE
BLOCK:::: LOT= ZONE= AGSUB DISTO=
AREQ:: ,.. A= ?.. WIDTH= i00 DEPTH= 130 0 ?'!'/ fM:::: 70
OWNER= nDONALD r •' t tPat-' ::::
STREET= 1005 is? 4 . {_ I_I A !J` #::
SPOKANE WA :.. 99206
CONTACT NAME= TLC !.: #.., f.; Ny s °•...) i.. .. i.l ?'} _ .. � ? .... NUMBER= ':?'tJ ,` .... i 6760
BUILDING ;�E ? �:stt!.:?�:�: : FRONT= i' A LEFT= t`•JA RIGHT= NA REAR= NA
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SEWER PERMIT
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CONTRACTOR= • CONSTRUCTION PHONE= 509 , r.. 6760
STREET= i306 E i2TH AVE
ADDRESS= SPOKANE WA 9906
ITEM DESCRIPTION t;?!.?AN ?.?.;Y FEE AMOUNT
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PROCESSING FEE Y 1%0..)
EWER CONNECTION i 40.0'',
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PAYMENT ,,'•.I, MMAR`t` Pi .Pi :,t .jf .p. 9i..P: •Pi 'Pi •Ni Yti -R• 7L .jl..Jti ¢ti -1{• •3ti •Pi Ai �Fi 91 •Di •Ai -1ti a: •Ai •Pr
PAYMENT DATE t::. RI::.CI: It # ',t' PAYMENT ME? T +tMt tI :#: ,_
TOTAL , , 5%00
PERMIT TYPE :' EE AMOUNT AMOUNT PAID AMt,.it,.jN'i' OWING
SEWER PERMIT 5%00 50.0c.) .00
PROCESSED BY: jULIE SHATTt)
PRINTED BY: jULIE SHATT(:.1
SEWER STUB E1Sa Bi_!.t.L..T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT ±.::: TO FIELD LOCATE AND CONFIRM IRM THE
ELEVATION ?-? ?'•! i ' POSITION OF SEWER !r' STUB PRIOR
RI, i`? _ ANY OTHER
EXCAVAHON
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
,:•i::.W::."•. STUBS (••?i'•.t::. TO t:ir:: ?::,I..Ir::r.:?..t':.,.f P?'t.s.!.IR TO CONNECTION TO ,.N:';t.aRI:::
-I-I..IAT .r..I..IEY ARE i:;I...I:"AR AND UNOBSTRUCTED !.j •1-O THE SEWER "A?N
CALL FOR '!'. .i•;.Pt:...: .?....N PRIOR ! I„:: COVER
4 HOUR U R ?` O �T .t. i.: E REQUIRED
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.... 456-3604 .J,..K..ji..jt..ji..jl• .11..jl. 14 -A:
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