1992, 06-30 Permit: 92004878 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 ith processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree t. .omply with sa '-.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the isce. -per' /application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th vi '.ns ofa ate 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 N!.!l iFfi::.i t:::.: 92004878 ti..r E 1? PERMIT DATE= .. .)%`•_ %2 PAGE=
01
9*i!•:R-i*it•i{•*•i*•}*'P:'9*R'H•i*1*a*Jt 3*i*i**:n•1*3f-9?')*R•9* #^E?'.?"?.I. ( .i?`e?'t.!?"•:I`11••i .?.'t.J N ii-9*)*y*9*:ri.P•9*9L'1*t*1 *Y'9L-*u-it-JL•i?•)k***i}..!':*X
SITE E STl EE::T'= 11114 E 25TH AVE F''ARC::l::.#...:„:-:: 43,3i 'I '?
ADDRESS:::: SPOKANE WiA 99206
PERMIT USES:: SEWER CONNECTION .... NORTH KOKOMO (92E-667)
)
}t'** S E E: NOTE '}h*:.*.
PLATO= 001393 9:3 PL._AT NAME= KOKOMO TOWNSITE
BLOCK=
-:: ^:'i LOT= •rIl.#i=.-- AGSUB D .,� T ..
a!"�
. :.
• t�i�Si::i i=`�}i�'��}e:? ,:';�f:+ ixij:T)-f'i..i:::. :;i?:E`"� ..
K: OF Bi...E`?GS:::: ",: DWELLINGS= i WATER DI: ...
OWNER= HENJU?'? PHONE=
STREET=E T= .i , .i i <, i:" 25TH Al'4 E
ADDRESS= SPOKANE WA 99206
CONTACT ACT NAME:::: RON Si...OAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA L.EFT:: NA RIGHT= NiA REAR:::: NA
P•*•1*i*)*i*•1l••}{•*•ii•'1*P•*N:•N•*•Pi*•}f*•}l•it•P:7E*•H:•h:•b:•A• SEWER P'E:.F{.C?.l. ? ***************K**************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY F'•E.:E:: AMOUNT
T
PROCESSING F E E:: T 10.00
SEWER CONNECTION i 40 .00
............ r. . . •v •: . . .............. ..
9l'•A'�:•14•Rl•'14)?'Jk�:•N:�:"Jt)l 9l){'�:•R ji'91'P'){'A'N:�!Jt N:3{1!'p:'1!"�,.' ?"'f�Y`1'S E:.C4 ? ,:;l..I;"i!'S E�Fi Y �r�t••N••}k•!';�:••�:•�:•it•H}�:..R..i{••h:•i+;���;�li--Jt•i::�N:�J�:�:�>:: .J;..;,..J,.
PAYMENT DATE E I":Ef_;EIF'T:N: PAYMENT AMOUNT
06/30/92 5055 50 .00
TOTAL SiE = .00 TOTAL PAID= 50.00
PERMIT 'T'YP'E: FEE AMOUNT AMOUNT PAID AMOUNT OWING
0.,0ti:
ri ri 50.00 . 00
SEWER PERMIT ..
50.00 50.00 .00
PROCESSED BY : JULIE SHt .T..rri
PRINTED BY : JULIE SUATTO
SEWER STUB AS—BUILT INFORMATION IS Ab'A:i:LAB#...E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION N O#= SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE:: BURIED CABLES : GAS PIPING, WATER LINES, ECT.
CA#...#... BEFORE: YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
,. .. CLEAR i ABG !, ti..i? ••.. MAIN
THAT Ti"?i-.`r` ARE r�a?�E'? UNOBSTRUCTED STizt.lt:TES l� 'T"� THE SEWER i�?��+.LN
7*i*:J..*#•}** •i* CALL FOR INSPECTION PRIOR TO COVER *xu:k*x•r,::u:*i*
*i*;*r:,!'i*t*** 24 HOUR NOTICE IzI`:, .. .F.F4E::T`J
N:j.•*•p;p.A.1*•'* 456-3604 3 * 'P:*1: :-1F F:'}{.
,*',*•i*'J*)*9*9:.}t.9*:�!'3t•fi`:''!*?.'}'A•i')*9,i*9*�*'}*1*. , **3*:i*it THANK Y it t.i '*ii'i*i*3.ii-3*)*i*ii-i*,*i*ri-ii.*i,...u;.}r.:r..u::,>:.3..;.*r.};..y.}r.i,,.