1991, 12-18 Permit: 91007289 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 authorizen kCounty to eed with processing. In additionI 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= 91007289 I%%UED PERMIT DATE= 1. 2/1 /91 PAGE= 01
******** * * ************ ** PERMIT INFORMATION ****************************
%ITE 11405 E 29TH AVE PARCEL4= 28543-4120
ADDRE%%= EPOKANE WA 99206
PERMIT U%E= %EWER CONNECTION - %OUTH KOKOMG
***
EEE NOTE ***
PLAT,;;:= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 41 LOT= ZONE= AG%UB DIJT4=
AREA= OOOOOOOO F/A= F R/w=
4 OF BLDC;,%= i 0 DWELLING%= i WATER DI%T =
OWNER= %CHAFER PHONE=
%TREET= 11405 E 29TH AVE
ADDRE%%= %PGKANE WA 99206
CONTACT NAME= TLC PHONE NUMBER= 509 927 67��
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CON%TRUCTION PHONE= 509 927 676�
%TREET=
13816 E 12TH AVE
ADDRE%%= %POKANE WA 99216
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 . 00
%EWER CONNECTION
******************************* PAYMENT %UMMARY ****************** ***** *
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/18/91 9533 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 .00 50 .00 . 00
------------- ------------ -------------
50 .00 50. 00 .00
PkOCE%%ED BY : JULIE %HATTO
PRINTED BY ! DOMITRGVICH, ROBIN
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTlLITIE% DE!.;:A;;;:TMENT ( 456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONrInh THE
ELEVATION AND PO%ITIGN OF SEWER %TUG PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% GA% �IPIN� , WATF� LINE% , ECT .
|
CALL T:EFORE YGU nIc ( 45c-8OO�)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO C0NNECTIGN T0 TNJURF
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE %EWFF
********* CALL FOR IN%PECTION PRIOR TO COVFR **********
********* 24 HOUR NG:TICE
********* 456-3604 **********