1991, 10-02 Permit: 91004243 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 98260
(509)456-3675
/oomfymat/»uvooxummoom/opmm/oxnnnoanon.stummanoomm,muuonoontumoumnanuouumntouuvmoonn'agenn000mnxeoamn rmit/application is true
and correct, and authorize Sokane Conty 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 NUMBER= 91804243 ISSUED PERMIT DATE= 10/02/91 PAF- Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11120 E 26TH AVE PARCEL4= 22743-3412
ADDRE %= %POKANE 14A 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
***
SEE NOTE ***
PLAT4: = 001393 PLAT NAME= KUKUMO TOWN%ITE (COPY IN PRINT
BLOCK= LOT-
AREA= OOOOOOOO F/A= F WIDTH=
4 OF BLDU,J= 4 DWELLINGS- i WATER DIST =
OWNER= BARNES,BETTY �HO�E=
STREET= 11120 E 26TH AVE
%POKANE WA 99206
CONTACT NAME= LEONARD PHONE NUBFR= 5O9 9?6 e96�
BUILDINC:, SETBACKS : FRONT= NA LEFT= NA RIC;HT= NA REAR= NA
CONTH(..4CTOR= H & % CON%TRUCTION PHONE= 5O9 926 9964
STREET= 11817 E VALLEYWAY AVE
ADDRESS- SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMCUNT
------------------------- -------- ----------
�ROCE%�INC FEE Y i . 00
SEWER CONNECTION . 00
******************************* pAYMENT
PAYMENT DATE REEIPT4 PAYMENT AMOUHT
10/02/91 7213 5O .00
------------
TDT�L DUE= .00 TOTAL PAID= 50 . 0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ---- --------
SEWER PERMIT 50 . 00 50 . 00 . 00
------------- ------------
, , 00
. 00
PROCESSED BY JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB AS-BUILT INFORMATION IJ AVAILABLE AT THE cOUNTv
UTILITIE% DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND COHFTRH THF
ELEVATION AND POSITION CF SEWER PRIOR TG ANY DT�FR
EXCAVATICN
TO iOCATE BURIED CABiF% �A% PIPIN� ' WATFR | INF%, FCT .
' 1 '
CALL BEFORE YOU DIG (45"-8OO)
EWER STUDS ARE TO BE CHECKED PRIOR TO CONNECTION Trj
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE %FWFF,: MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********