1991, 10-01 Permit: 91002798 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 nmonuomo 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= 91002798 ISSUED PERMIT 0ATE= i0/01 /91 PACE= 'f.::11
***************** ********** PERMIT INFORMATION ****************************
%ITE %TREET= 11409 E 26TH AVE PARC EL0= 28543-3227
ADDRE%%= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - %OUTH KOKOMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 32 LOT= 20 ZONE= AG%UB DI%T4=
AREA= 00000000 F/A= F WIDTH= 50 DEPTH= 130 R/W=
0 OF BLDG%= i 0 DWELLING%= i WATER DIET =
OWNER= %WYTER D C PHONE=
STREET= ii4O9 E 26TH AVE
ADDRESS- SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 5'22 8�O�
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYJ ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRE%%= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------ --------PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40. 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
10/01 /91 7123 5O . 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50, 00 50 ,00 5O .00 ^00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES , ECT ,
CALL BEFORE YOU DIG (45 -8000)
SEWER ETUBE ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOB%TRU TED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
* ******* 24 HOUR NOTICE REQUIRED **********
******* 456-3604 **********
******* ********************* ** THANK YOU *********************************