1992, 06-17 Permit: 92003917 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 com / th same.All provisions of laws and ordinances governing this type of work will»o complied
herein or notI understandmmm 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 loc /lawmnu/atm000nstoctmn.omouwm,mmvmounmnnunoo°u»menmviumnoofa"votateo,/v,a/
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92003917 I%%UED PERMIT DATE= 06/17/92 PAGE= 0:i
**************************** PERMIT INFORMATIGN ****************************
%ITE JTREET= i0905 E 26TH AVE PARCEL4= 47283 3Oi8
ADDR %= %POKANE WA 99206 ^
PERMIT U%E= %EWER CONNECTION - %OUTH KOKOMG ( 92%-532 )
*** EEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 30 LOT= 14 ZONE= AG%UB DI%T4=
AREA= F/A= WIDTH= DEPTH= R/W= 7O
4 OF BLDG%= i 4 DWELLING%= i WATER DIET =
OWNER= %HEPERD A & D PHONE=
%TREET= 1O905 E 26TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= BOB LON� EXCAVATION PHONE NUMBER= 509 924 47q?
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWFR PERMIT ***************************xxx
CO.. . ........ . .......... .............. . ... ........... .................... ...... ....... .. .ROBERT PHONE= 82
%TREET= 9415 % %AND% RD
ADDRE%%= VALLEYFORD WA 99036
ITEM DEJCRIPTIGN QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%IN� FEE Y
10 .00
%EWER CONNECTION
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
06/17/92 4625 50. 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWINr,
--------------- ------------- ------------ -------------
%EWER PERMIT 50 . 00 5O . 00 . 00
___________
50. 00 50. 00 . 00
PROCEE%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
%EWER % I% AVAILABLE AT THE COUNTY
UTILITI[% DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND POEITIGN GF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES �A% PIPIN� WATE� LINE% ECT
CALL BEFORE YOU DIG (451-GOOO ) '
%EWER %TUB% ARE TO BE CHECKED �RIOR TO CONNECTION TO IN%i�RE
T�AT THEY ARE CLEAR AND UNOBTHUCTED TO THE %EWER MAI!
********* CALL FOR IN%PECT N PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK 'IOU *********************************