1991, 09-17 Permit: 91005924 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 correcand authorize Swm County to proceed with processing. In addition, 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 construc ion. e
SIGNATURE OF APPLICATION G
PROJECT NUMBER= 91005924 IUED PERMIT DATE= 09/17/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10716 E 24TH AVE PARCELO= 28543-2814
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 00i393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= LOT= ZONE= AG%UB DI%TO= F
AREA= F/A= F WIDTH= iOO DEPTH= 300 R/W= 70
4 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= BLOCK , C ARENCE R PHONE= 509 924 3504
,OWNER= 10716 E 24TH AVE
• ADDRESS= SPOKANE WA 99206
CONTACT NAME= MOUNTAIN WEST MECHANICAL PHONE NUMBER= 509 928 2471
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 2471
STREET= 9116 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- --------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/17/91 6588 50.00
TOTAL DUE= .00 TOTAL PAID= 5O...
OO
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------- �
EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.00 50.08 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
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' WATER LINES, ECT,
CALL BEFORE YOU DIG ( 456-0000>
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 *********************************