1992, 02-28 Permit: 92000880 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
d correcrm authorize Spokane Conty to proceed with processing. In additionI have reaand umerstanumowapccT/ownsuu/nsMcwrs/NoT/us
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,ores a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER ORAGENT DATE
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^
PROJECT NUMBER= 92000880 I%%UED PERMIT DATE= 02/28/92 PAGE= Oi
******************* ******** PERMIT INFORMATION ************** *************
TE %TREET= 10806 i::. 28TH AVE PARCE14= 28543-4408
ADDRE%%= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - SOUTH KOKOMO (92%-97)
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 44 LOT= 6 ZONE= AG%UB DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= %TINTZI PHONE=
STREET= 10806 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALWAY% ACTIVE PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 5O9 922 85Ow
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
02/28/92 1312 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 : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER_STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CGNFINH THE
ELEVATION AND POSITION OF SEWER %TUB PRIGR TO ANY OTHE�
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (451-8OOO>
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 **********
* ******* 456-36O4 **********
** ***************************** THANK YOU *********************************