1992, 05-11 Permit: 92003255 SewerSPOKANE COUNTY DEPART'MENT'OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 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 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 to a egulating construction, oras a warranty of conformanc with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AG �D}� DATE Z-
?•- RO,.!l::.i.; { NUM:::(EIz.=
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92003 ISSUED
PERMIT
DATE= 05/ii/92 t -'(•AG?::.= e.j't
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9,:.r:.A. q,:.!k .R..R..1,: 9{• 9C •Y�• PERMIT
INFj. iR?''I(•"•iTION
TOTAL ! r•AL.. t?UE••••
(I y00
i -:A ,,::::
AMOUNT AMOUNT
i"`r''j.i..l:
a
SITE STREET=
50.00
50,00
ADDRESS=':'f::`'i•.K
N•• WA 9920u6
50101.)
PERMIT USE= —
SEWER 1 .t t Vi'.,. -1 1 1 'd — SOUTH
K:. I '. ( t't t '
(92S-460)
PLATO=
00393 PLAT NAME=
KOKOMO TOWNSIT[��
, ;.....
BLOCK=
_,T
2 r.. LOT=
., , .
;i ZONE=
.., . ..R..... ..
(••ii'':I::.(•1::::
0000000i , A=
I• WIDTH=
90 Ali::.I::='('L.i:::: 130 R/W= 60
0 (:tt.. _:(i...DG,::::::
•i 0 DWELLINGS=
2 WATER
DIST :::: MODEI
OWNER=
NORTHWEST HOMES
PHONE= 509 926 0909
STREET=
PO BOX i0295
ADDRESS=
SPOKANE WA 99216
J a _
f;{:)NTAC_j. NAME=
T •! ARNOLD 1 i
.',:-':.'INE NUMBER= ST'jE 509 926 090.)
BUILDING SETBACKS:
I"Ri.:N'i... NA LEFT=
NA RIGHT=
� �i A REAR= #v ('a
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1,..x• 1=i fi:• 1[• -}:i •j4 i:; •i:i SEWER
PERMIT '1!• H:
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CONTRACTOR=
I`.jl-il;:TI..IWI::.S"i HOMES
(
PHONE= r.-,..:-`:% 926 0=8
STREET=
i::: 0 A.{ O X i 4 1 . Y 9 try
ADDRESS=
t't'7 ": ' ,t
SPOKANE ib1 r:�! 3, y
ITEM
DESCRIPTION
QUANTITY
FEE AMOUNT
Ph':[II:::l..:a•?iia:
NG FEE
Y
PAYMENT ,1M"tR,
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PAYMENT ..}r'1 I E
R1::.t.: t::. i. t.: I ,Y;
PAYMENT AMOUNT
TOTAL ! r•AL.. t?UE••••
.00 TOTAL
i -:A ,,::::
AMOUNT AMOUNT
i"`r''j.i..l:
AMOUNT OWING
SEWER PERMIT
50.00
50,00
5&GO
50101.)
PROCESSED BY: il;l::.!`,It??:: L . GL_?.!r'.:l.A
PRINTED BY: WENDEL, GLORIA
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCr'•Ti. AND
CONFIRM
THE
ELEVATION A ?'•, }.: POSITION 1..1 E' SEWER S ( -iiia PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, t..Y r••Y .`.• PIPING, ix! f A ?• E::. i•'•'. LINES, ECT.
t.:AI...L BEFORE .Yi..!'t. DIG (456-8 000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
? F'?rl I THi::.? ARE CLEAR AND UNOBSTRUCTED TO THE .:>1::.WER MAIN
1 n 1: r ! r 1 1!•
CALL FOR Fti a.NSi"'I::.C(.i.t.1iV PRIOR TO 1 CA.iVI::.i':: 1•i i�..�i l,i )�: •1+: Pi -ri •},: 'ni
24 HOUR NOTICE REQUIRED .lr .1�..lt• li- 1r li' it it u' l; -
P:
456-3604
................................................................
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