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 *********************************