1992, 04-10 Permit: 92001195 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 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 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 T NUMBE::R-: 92001195 ISSUED PEFi '!I (• DATE= 04/10/92 PAGE= 01
****•**R********3 3****3****•* PERMIT INFORMATION ******•*********r•*; *;i•*•*•*****•:u.
SITE STREET= 11012 F:: 25TH AVE P ARCE... = 28543-3014
ADDRESS:: SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- NORTH KOKOMO (92E-148)
ae•** SE.E. NOTE ***
PLATO= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE== A(arSUt DI.`T:::::: {.1hii;
AREA= 00400 000 F'/A= F WIDTH- DEPTH= FL:/w..
M OF BLDGS= 0 DWELLINGS::: WATER DIST :: X
C)WNER::: 9At_B`r`, MIKE D PHONE=
STREET= 11012 E 25TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & S CONSTRUCTION PHONE: NUMBER-- 509 97A 8964
BUILDING SETBACKS : FRONT:: N/A LEFT:: N/A RIGHT= N/A REAR= N/A
9(*******•****••R•**3 ***i{•********A: SEWER PERMIT *•#******** :*•a•ii•**********•***•ii*••N:
CONTRACTOR= H & S CONSTRUCTION PHONE:.:- 509 926 8964
STREET= 118-17 E_ VALL..EYWAY AVE
ADDRESS::: SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE. Y 10,00
SEWER CONNECTION 1 40,00
**•xu*•*3 **••x**3c•**•**•**:**3*•***•***** PAYMENT SUMMARY •ir*aI*3h•k••1t*ikii**•it•7{*••k9?•ik*j{•'ikii••i{••P.:•a•*•it•A.•
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
4/14
�� '}j9 ? 2555.. _> 50.00
------------
TOTAL DUE::: 00 TOTAL PAI.D:: 50-00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50,00 50-00
.00
50,00 50..00 4'o
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—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
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.:
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE Ci...FAR AND UNOBSTRUCTED TO THE SEWER MAIN
*•x*k*t* CALL_ FOR INSPECTION PRIOR TO COVER ***•***•*•*3J
********* 24 HOUR NOTICE REQUIRED) ***:*•***•***•
•x*tt*R*;>:**• 456-3604 **•*•a **•****
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