1992, 06-18 Permit: 92004518 Sewer - - ' ' '`
SPOKANE COUNTY DENWITMENT OF BUILDINGS
W. 1��0����k�������N0�
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 Conty to proceed with »moossmo In additionI 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 I.w regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construct' ;
SIGNATURE OF
erALA.ect) APPLICATION 00,„
OWNER OR AGENT - DATE
PROJECT NUMBER= 920045i8 ISSUED PERMIT nATE=
**************************** PERMIT INFORMATION *********** ************** *
SITE %TREET= ii4ii E 25TH AVE pARCEL0= 45283 . 25i8
ADDRE%%= %POKANE WA 992O6
PERMIT U%E= SEWER CONNECTION - NORTH KOKOMO ( 92%-643 )
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 25 LOT= 22 ZONE= UR-3 . 5 DI�T " =
AREA= F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= MAXWELL D W. PHONE= 509 924 11 -i9%TREET= 13708 E29�H AVE
ADDRESS- SPOKANE WA 99216
CONTACT NAME= D W MAXWELL PHONE NUMBEH=
BUILDING SETBACKS : �RONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******* ********************* %EWER PERMIT ****************************»*
CO�T�ACTO�= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE A NT
------------------------- -------- ----------
PROCESSING FEE Y 10 ,00
SEWER CONNECTION i 40 . 00
******************************* PAYmENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AM3UNT
O6/i8/92 4661 50 .00
' ------------
TOTAL DUE= . 00 TOTAL PAID= 50^ 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
--------------- ------------- ------------
E: R PERMIT .00 50.00 .00
------------- ------------ -------------
5O. 00 50 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT T% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PUs��IGN G� %EwER %T;B PNIOR TG AN; OTHER
EXCAVATION
TO LOCATE BURIED CABLES �A% PIPIN� , WATER LINES , ECT ,
CALL BEFORE YOU DIC ,f. 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TC INURF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
******* * 456-3604 **********
******************************** THANK YOU *********************************