1992, 08-04 Permit: 92004097 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
0k13V3BROADWAY AVENUE
SPOKANE, WASHINGTON g92G0
(5V9)458'3875
/'mmymat/xmmexam mouthis »*m/xavnxou.on.state that the information contained muand uuum.ned bpmoonnvagent to compile said permit/application permit/applicationis true
u"uvnnom and athionze Spokane County to proceed with processing. In addition, / 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 Certibcates of Occupancy sh&I not beconMwed to
give authority to violate orcancel the provisions of any state or local lawregulating construction, oras a warranty of conformance with the provisions ofany stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92004097 ISSUED PERMIT DATE= 08/04/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1003 E 27TH AVE PARCELO= 45283.3607
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO (92%-564)
***
SEE NOTE ***
PLATO= OOi393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 36 LOT= 000 ZONE= AG DI%TO= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= LEAF, GARY PHONE=
STREET= i0813 E 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= %IMP%GH SANITATION PHONE NUMBER= 509 926 478i
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= %IMP%ON SANITATION
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 9902
ITEM DESCRIPTION
-------------------------
PROCE%%ING FEE
SEWER CONNECTION
PHONE= 509 926 478i
QUANTITY FEE AMOUNT
-------- ----------
Y i0.00
1 4O.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/04/92 6ii7 50.01.)
TOTAL DUE= DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.0O 50.00 .00
------------- ------------ -------------
50.00 50.0� .O0
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AJ—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,GA% PIPIHG, WATER LINES, ECT.
CALL BEFORE YOU DIG (45"-8OOO)
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 *********************************