1992, 06-29 Permit: 92003043 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON SS26O
(509) 456-3675
1 certify tha" haveexamined this permit/application, state that the information contained in it and submitted u t to compilesaid permit/application is true
and correct, and auNorize Spoloane County to proceed with procening. In addition, I 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 ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not beconstrued to
give authorityto violate orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisionsofany state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92003043 ISSUED PERMIT DATE= 06/29/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= ii212 E 24TH AVE PARCELO= 45283.26i5
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KGKOMO (92%-423)
***
SEE NOTE ***
PLATO= 00 1393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 26 LOT= 5000 ZONE= AGSUB DI%TO= F
AR= 00�00000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= %CHROEDER GARY PHONE=
STREET= ii2i2 E 24TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= CGUR HAINE CONSTRUCTION PHONE= 509 924 5485
STREET- 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 4O.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
O6/29/92
TOTAL DUE=
RECEIPTO PAYMENT AMOUNT
4963 50.00
------------
.00 TOTAL PAID= 5O.00
-'— U--
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.0O 50.00 .00
-------- --- ------------ -------------
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
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
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