1992, 03-17 Permit: 92001429 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 authorize Spokane County to proceed with processing. In additionI 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 OnAGENT DATE
;`ROJET 92001429 I%%UED PERMIT DATE= 03/17/92 PARE=
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= iO82� E 24T� AVE PARCEL�= 28543-28� 0
ADDRE%%= %POKANE WA 99206
PERMIT U%E= %EWER CONNECTION - �ORT� KOKOMO ( 92%-i8O )
***
EEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 28 i ZONE= AG%UB
AREA= 00000000 F/A= F 70
OF i 4 DWELLIN %= WATER DIET
OWNER= MGNTZ , DALE PHONE=
%TREET= 10820 E 24TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDINC:, %ETBACK% : FRONT= N/A LEFT= N/A RI�HT= N/A REA�= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CON%TRUCTION PHONE- 509 924 5485
%TREET= 16402 E VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y iO .O�
SEWER CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AM�UNT
03/17/92 1787 50 . 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMH;Ni
--------------- ------------- ------------
EEWER PERMIT PERMIT 5O.00 5O.00 . 00
------------- ------------ -------------
5O . 50 . 00 . 00
PROCEED BY : D8MITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4 )
CONTRACTOR OR APPLICANT I% TG FIELD LOCATE AND CONFIRM �HF
ELEVATION AND PO:.;'ITIGN OF EEWER ETU3 PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% �AE PIPIN� , WATER LINE% ' ECT.
CALL BEFORE YOU DTC; ( 456-8000)
%EWER %TUB% ARE TO IN%U�E
THAT THEY ARE CLEAR AND UNGB%TRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********