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1992, 03-12 Permit: 92000754 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS VK13U3BROADWAY AVENUE SPOKANE, WASHINGTON SS260 (509) 456-3675 1 certify tha" hue examinedth is 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 Sx County to proceed with processing. In uomnon / have read and understand the /wapsormw nsuu/nEMswra/wo//CE provisions included herein and agree to comply Mth same. IMI provdions of laws and ordinmcm governing MI type of work vvill be complied with whether specHied herein wnot. I urrceWancl Mat Me Isuance d this permit/application and any subsequent inspection approvals or Certi1icates of Occupancy shO not be construed to give authority to violate orcancel the provisions W a" staW orlocal law regulating construction, was a warranty of conformwce with Me provisions A a" sMteorlocal laws regulating construction. SIGNATURE OF APPLICATION OWNER OnAGENT DATE PROJECT NUMBER= 92000754 ISSUED PERMIT DATE= 0302/92 PAGE= Oi **************************** PERMIT INFORMATION **************************** SITE STREET- iO7O3 E 27TH AVE PARCELO= 28543-3624 ADDRESS- SPOKANE WA 99206 RECEIPT41: PAYMENT AMOUNT PERMIT USE= SEWER CONNECTION — HILLCRE%T (92%-8i) *** SEE NOTE *** .00 TOTAL PAID= 50.00 PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE OWING BLOCK= 36 LOT= ZONE= AGRI DI%TO= F AREA= 00000003 F/A= A WIDTH= DEPTH= R/W= � OF BLDb%= 0 DWELLINGS= i WATER DIST = OWNER= KEEyY, RU%% PHONE= 509 928 4758 STREET= 10702 E 27111 AVE INFORMATION IS AVAILABLE AT THE COUNTY ADDRESS= %POAKNE WA 99206 DEPARTMENT (456-3604) CONTACT NAME= %IMP%ON SANITATION OR PHONE NUMBER= 509 926 4781 BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ***************************** SEWER PERMIT ****************************** CONTRACTOR= %IMP%ON SANITATION STREET= 702 E BALDWIN AVE ADDRESS= SPOKANE WA 9902 ITEM DESCRIPTION ------------------------- PROCE%%ING FEE SEWER CONNECTION PHONE= 509 926 478i QUANTITY FEE AMOUNT -------- ---------- Y iO.00 it 4O.0O ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPT41: PAYMENT AMOUNT 0302/92 i655 ------------ 50.00 TOTAL DUE= .00 TOTAL PAID= 50.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- %EWER PERMIT ------------- ------------ ------------- 50.0O 50.0O .00 ------------- ------------ ------------- 50.0O 50.00 .00 PROCESSED BY: DOMITROVICH, ROBIN PRINTED BY: DOMITROVICH, ROBIN 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 CABLES, GAS PIPING, WATER LINES, ECT.