1991, 10-01 Permit: 91002893 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vomfymut/hu,00xammoum/o*xmmonnnounon.mummuuxomm,muoonvonmmoo.nnvnuouummou»'moonnvagenu000mnnooumv rmit/application is true
and correct, and authorize Spokane County to proceed withnm"ossmo In additionI have reaand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply wisame.. ° "''"~"� ""'='~''~~ with whether'
hereinecified
not. understandthat�mo/oouonooof this permit/application"provisions ''
unuu
not�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 oRAGENT DATE
PROJECT NUMBER= 91002893 ISSUED PERMIT DATE= 10/01 /91 PAGE= 0i
**************************** FERMIT INFORMATION ************ **** * ****** *
SITE STREET= 11718 E 25TH AVE PARCELO= 28544-0808
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO
*** SEE NOTE ***
PLAT4= 002392 PLAT NAME= %KYVIEW ACRES ADD
BLOCK- 8 LOT= 8 ZONE= AG%UB DI%T4=
ARE = OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 60
0 OF BLDG;= i 0 DWELLINGS= i WATER DIET = SPOKANE %UBURBAN
OWNER= ANDERSON, DAVE PHONE= 509 924 840
STREET= 11718 E 25TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 589 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER pERMIT *************************** *
CONTRACTOR= ALWAY% ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRE%%= SPOKANE WA 99214
ITEM DE%CRIPTI3N QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE %ING FEE Y iO.00
SEWER CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/01 /91 7119 5O .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ................................. ....E M PERMIT 50 .00 50.00 . 00
------------- ------------ -------------
50 . O0 50 .00 ^ 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
EEWER %TUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIC ( 45 -800O)
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 *********************************