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1992, 05-15 Permit: 92002858 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 correct, and authorize Spokane County to proceed with processing. In addition, I have read u understand the INSPECTION Eo ME 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,or as a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OnAGENT DATE PROJECT NUMBER= 92O02858 I%%UED PERMIT DATE= 05/i5/92 PAGE= Oi **************************** PERMIT INFORMATION **************************** SITE %TREET= 11021 E 28TH AVE PARCELO= 28543-3807 ADDRESS= SPOKANE WA 99206 PERMIT USE.:.: SEWER CONNECTION - %OUTH KOkOMG (92%-399) *** SEE NOTE *** PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE BLOCK= 38 LOT= 24 ZONE= UR-3.5 DI%T4= AREA= ESA= F WIDTH= DEPTH= R/W= :;1 OF DWELLING%= i WATER DIET = OWNER= HPKIN% JAMES PHONE= STREET= 11021 E 28TH AVE ADDRE%%= SPOKANE WA 99206 CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 5O9 924 5485 BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ***************************** %EWER PERMIT ****************************** CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485 E*IR EET= 16402 E VALLEYWAY ADDRESS- VERADALE WA 99037 ITEM DECRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- PROCE%%IN� FEE Y iO.00 ;.,,EWER CONNECTION 40.00 ******************************* PAYMENT %UMMARY **************************** PAYMENT DATE RECEIPTO PAYMENT AMOUNT 05/15/92 3632 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 %EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLE% GA% PIPINGWATER LINE% ECT 1 ' ' ^ CALL BEFORE YOU DIG (45"-8OOO> %EWER %TUB% 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 *********************************