1992, 05-21 Permit: 92003623 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 correctand athorize SkCount o proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to c• n/ with same.All provisions of laws and ordinances governing this of work will be complied with whether smou
herein or not.I understand tha the issu 000 is permit/application andpermit/application any subsequent/ noo. / Certificates of Occupancy shall not be construed to
give authority to violate orca cel the• ovi '- um //m°mou/mmovonmm�/on.o,auu°u,mn�movnmnnunoo°/mmovvmm/onomany mumo,/mm/
/�mmou/omnnmm�mmion.
SIGNATURE OF � ^-3�^ ^' APPLICATION �— — J� � _
OWNER OnAGENT ��� ����� ���� L~� =p*m�°~� DATE
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PROJECT NUMBER= 92O03623 ISSUED PERMIT DATE= 05/21 /92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10906 E 27TH AVE PARCEL4= 28543-38i8
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO (925-513)
*** SEE NOTE ***
PLAT4= 0O1393 PLAT NAME= KOKOMO TOWNSIIF
BLOCK= 38 LOT= 1i ZONE= AG%UB DI%T4=
AREA= F/A= F WIDTH= iOO DEPTH= 13O R/W=
4 OF BLDG%= 4 DWELLINGS= i WATER DIST =
OWNER= MC CORMICK LARRY PHONE=
STREET= 10906 E 27 / H AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LARRY MC CORMICK PHONE NUMBER= 509 928 9676
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %i., mARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/21 /92 3830 50.00
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 SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%—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 BURIED CABLE%| GAS PIPING , WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUB RE TO BE CHECKED PRIORTO 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 *********************************