1991, 11-13 Permit: 91005198 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 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
PRO ►ECT NUMBER= 0005198 ISSUE: D PERMIT DATE= i i i /9i F'irtC;E= 01
fE * PERMIT INFORMATION
SITE: STREET=: 11417 E 26TH AVE PARCEL4= = 28543-..:.3205
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- SOUTH KOKOMO
* SEE MOTE ***
PL..AT4= 00139:.3 FLAT NAME= KOKOMO TOWNSITE
BLOCK= 32 LOT= ZONE= AGSUB DIST::::: F
AREA== 00000000 F/A= F WIDTH= DEPTH= R/W==
0 OF BL -DGS= 1 4 DWELLINGS= 2 WATER DIST
OWNER= THOMPSON, L_YL..E PHONE=:
STREET= 11417 E 26TH AVE
ADDRESS=: SPOKANE WA 99206
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS: FRONT= NA LEFT=:: NA RIGHT= NA REAR= NA
SEWER PERMIT
CONTRACTOR=- ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 9904
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-----------
PF?OC;E:SSI:NGF`E'E:---_.____..____ _Y-..______ _ i D.00
SEWER CONNECTION 1 40.00
PAYMENT SUMMARY>�xa�xhxA�:x;tn
PAYMENT DATE RECEIPT=: PAYMENT AMOUNT
11/13/91 8633 50.00
------------
TOTAL DUE= .00 TOTAL PAID=50.00
PERMIT TYPE. FEE: AMOUNT AMOUNT PAID AMOUNT OWING;
---------------
SEWERF`ERMI: T .________ ------------
-.._.-.._._._..__0.00 ___.______-- .00
_ _ 50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: ,.JULIE. SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE I:tURIE::D CABLES, GAS PIPING, WATER LINES, ECT.
CALL_ BEFORE YOU DIG (456-8000)
SEWER STUBS ARE.: TO DE CHECKED PRIOR TO CONNECTION TO ENSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
** CALL FOR INSPECTION PRIOR TO COVER
*
24 HOUR NOTICE. REQUIRED
x xyrii3i
456-3604
THANK YOU