1992, 04-13 Permit: 92001796 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.13O3BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3G75
1 certifyt"tl h"eexaminedth 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 amo,/zoSpokane Conmm 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 ofthis 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APpuoAT|ow
OWNER OnAGENT DATE
PROJECT NUMBER= 92001796 ISSUED PERMIT DATE= 0403/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET=
11403 E
28TH AVE
PARCELO=
28543-4009
ADDRESS=
SPOKANE
WA 99206
PAYMENT
PERMIT USE=
SEWER CONNECTION
—
SOUTH KOKOMO (92%-244)
2634
*** SEE NOTE
***
5O.0O
TOTAL
DUE=
PLATO=
00393
PLAT NAME=
KOKGMO TOWN%ITE
50.0O
BLOCK=
4O
LOT=
20 ZONE= UR -3.5
DIJTO= F
AREA=
%EWER PERMIT
F/A=
F WIDTH=
DEPTH= R/W=
0 OF BLDG%=
i
0 DWELLINGS=
i WATER DIST
=
OWNER=
PAC SEC
COMPANY
PHONE=
509 922 030
STREET=
11403 E
28TH AVE
ADDRESS=
SPOKANE
WA 99206
CONTACT NAME=
ALWAYS
ACTIVE — RON
%LGAN PHONE
NUMBER= 509 922 8500
BUILDING SETBACKS:
FRONT=
N/A LEFT=
N/A RIGHT= N/A
REAR= N/A
*****************************
SEWER
PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX i4i562
ADDRESS= SPOKANE WA 992i4
ITEM DESCRIPTION
-------------------------
PROCE%%ING FEE
SEWER CONNECTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT*
-------- ----------
Y iO.00
i 40.00
*******************************
PAYMENT
SUMMARY ****************************
PAYMENT
DATE
RECEIPT�
PAYMENT
AMOUNT
04/13/92
2634
5O.0O
TOTAL
DUE=
.00
TOTAL PAID=
------------
50.0O
PERMIT TYPE
---------------
FEE
-------------
AMOUNT AMOUNT
PAID
AMOUNT
OWING
%EWER PERMIT
-------------
------------
5O.00
------------
50.0O
-------------
.00
50.811.)
50.0O
-------------
.00
****************************************************************************
* PROJECT NOTE: TOPIC = GENERAL DEPT = BUILDING *
****************************************************************************
DUPLEX ALSO INCLUDES E. ii405 28TH AVE
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, GA% PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8OOO)
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 *********************************