1992, 06-23 Permit: 92004345 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 u submitteduv me or my agentm 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
herein not.Iunderstand�mu� / of this permit/applicationunuunvouu� inspectionapprovalsCertificatesof m
ouon� n, 00 Occupancy construedto
notuo
g��au�o� toviolate o,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= 92004345 ISSUED PERMIT DATE= 06/23/92 PAGE= 01
* ******* ****************** PERMIT INFORMATION ****************************
TE %TREET= iO8i9 E 24TH AVE PACE45282. 3526
ADDRE%%= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO (92%-610)
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 21 LOT= 24 ZONE= AG%UB DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= ARVID%ON E E PHONE=
%TREET= .10819 E �4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION 1 40.00
******* *********************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/23/92 4775 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
------- ------- ------------- ------------SEWER PERMIT 50.00 50.00 ^0 0
------------- ------------50,00 50.00 5O.00 .00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4 )
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
%EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL-24-FOR INSPECTION PRIOR TO COVER **********
�******** — mOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************