1991, 10-02 Permit: 91003944 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 athorize Soxu 000 nty to proceed with processing. In addition / 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 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=' 9100944 I%%UED PERMIT
**************************** PERMIT INFORMATIGN ****************************
%ITE ETREET= 10720 E 24TH AVE PARCEL�= 28�43-28 � 3
ADDRE%%= %PGKANE WA 99206
PERMIT USE= SEWER - NORTH KOKOMG
*** %EE NOTE ***
PLATO= 001393 PLAT NAME= KOKGMG TOWN%ITE
BLOCK= LOT= ZONE= UR-3 . 5 DI%Ta=
AREA= F/A= F WIDTH=
OF BLDDWELLINO%= i WATER DIET =
OWNER= WILLIAMS, ERV & PATTY PHON�= 5O9 �2G i �S6
ETREET= 10720 E 24TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= LEONARD PHONE N|/MBER= 5O9 926 896�
BUILDINC; %ETBACK% : FRONT- NA LEFT= NA RIGHT= NA REAR= NA
************ **************** %EWER PERMIT ******************************
CONTRACTOR= H & % CON%TRUCTION PHONE= 509 926 8964
STREET- 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCEE%ING FEE Y 10.0C:3
%EWE� CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMINT
'i0/02/91 7206 50 . 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWINO
--------------- ------------- ------------,':.:EWER PERMIT PERMIT 50.00 50 . 00 . 00
------------- ------------50 ,00 70 ,00
7O .0O
PRGCEE%ED 3Y : JULIE %HATTO
PRINTED BY JULIE ::::HATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THF COUNTY
UTILI�IEJ DEPNT ( 456-36O4 }
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND THE
ELEVATION AND POSITION OF EEWER %TUG PRIOR .Tr: ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE �A% PIPIN� , WATE� LINE� , ECT .
CALL BEFGRE
YOU ��� ( 451-8OO�)
%EWER %TUB% ARE TO BE CHECKED PPIflR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNO %TRUCTED TO THE %EWER MAIN
***** *** CALL FOR INSPECTION PRIOR TO COVER **** *****
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********