1991, 10-01 Permit: 91003198 Sewer - - -
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. 1303BROADWAY 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 u with processing. In addition, I 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 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 OR AGENT DATE
PROJECT NUMBER= 91003198 ISSUED PERMIT DATE= 10/0i /91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= i1128 E 29TH AVE PARCELO= 28543-4710
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - SOUTH KOKOMO
*** %EE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 47 LOT= ZONE= UR-3 .5 DI%T4= F _
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 7O
OF BLDi DWELI_ING%= i WATER DIST =
OWNER= RIO% RO%EANNA PHONE-
STREET= 1i128 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 5O9 922 8500
BUILDING %ETBACFRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 85OO
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10 .00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/01 /91 7117 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.O�
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT GWINI..;
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 .00 . 00
------------- ------------
50,00 50 5O .0O . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% 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 CABLE% r,A% WATER LINE%, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED TO CGNNECTI3N TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
****** ** CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED *ix.********
********* 456-3604 **********
* ** ************* ************* THANK YOU ******************** ******* **