1991, 02-02 Permit: 91008297 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VK13O3BROADWAY AVENUE
SPOKANE, WASHINGTON 9B28O
(509) 456-3675
1 certiQ &A Wave exam Vied this permit/application, state that the information contained in it and submitted by me or my agent vcompile said permit/application is
and correct, and authorize Spokane County m proceed with processing. In uumuon. / have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree mcomply with same. All provisions o/laws and ordinances governingthis type orwork will »ocomplied with whether specified
herein v,not. / understand that the /ou anoomm., permit/application and any subsequent/ n°napprovals Certificatesof Occupancyshallnmbmmmumoum
give authority toviolate orcancel the provisions of any state orlocal lawregulating construction, oras a warrantyof conformancewith the provisionsofany stateorlocal
laws regulating construction.
SIGNATURE OF AppuCxTmw
OWNER ORAGENT DATE
**************************** PERMIT INFORMATION
-
%ITE STREET- i)O23 E 24TH 'AVE PARCE'O= 28542-36ii
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMG (9i"%99)
***
SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 22 LOT= 23 ZONE= AGSUB' DI%TO= F
`AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDC- 0 DWELLINGS= i WATER DIST =
3WNER= THOMP%ON, BUD E4 PHONE= 509 924 2303 '
STREET= iiO23 E 24TH AVE
ADDRESS= SPOKANE WA 99206 '
_- CONTACT NAME= BUD E. THOMP%ON PHONE NUMBER= 509 924 2303
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
7ONTRACTOR= OWN[ PHONE=
^
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--... ... ... .... .... ... .... ... ... .... .... .... ' - - ' ... .... .... ... .... .... .... .... .... ....
PROCESSING FEE iO.00
%EWER CONNECTI 4O.00
PAYMENT SUMMARY ****************************
� RECEIP74. PAYMENT �
----_----
.0 TOTAL PAID= 5�
nFPMTT TYPO FEE AMOUNT AMOUNT PAID AMOUNT O�
------------- ------------ ----------
50.00 5O.00
------------- ------------ ----------
50.00 50. GE) .6
PkICENIED BY. LOMITP- ` -
PRINTED BY: DOMIN..-.`
SEWER STUB AN -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRA TOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAv^ - `r!
TO LG-EA�`OER� OU D-I�A-L(4E5% �-8-O-- �P) IPING' WATER LINES' ECT.,
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 *********************************