1992, 10-07 Permit: 92008533 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 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 c 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 (6/-1/4' . 2�
OWNER OR AGENT DATE
PROJECT NUMBER= 92008533 ISSUED PERMIT DATE= 10/07/92. PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11321 E 26TH AVE PARCE.L4= 45283.322.2
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -• NORTH KOKOMO (92S-1009)
*** SEE NOTE ***
PLATb= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 32 LOT= 17 ZONE= AGSUB DIST= F
AREA= 00013000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 1 a DWELLINGS= i WATER DIST =
OWNER= SCOTTLARRY PHONE= 509 922 0251
STREET= 1132.1 - E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 118'17 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/07/92 8665 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50,00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
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
�� ��''
CALLL..OBEFORE�IYOUI)DIG (4o-80003IF'TNG, WATER LINES, ECT.
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 *********************************