1992, 08-17 Permit: 92006482 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 Sm, County to proceed with processing. In addition, I have read u 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 OnAGENT DATE
PROJECT HUMBER= 92006482 I%%UED PERMIT DATE= 08/17/92 PAGE= Oi
****** ********************* PERMIT INFORMATION ****************************
%ITE %TREET= ii4i7 E 29TH AVE
PAR CE4528:3. 4i 05
ADDRE%%= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - SOUTH KOKOMO (92%-810)
*** EEE NOTE ***
PLAT0= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= i LOT= 22 ZONE= AG%UB DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLING%= i WATER DIET =
OWNER= FITZGERALD PHONE= 509 924 9100
STREET= 11417 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 9i00
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*************** ************* SEWER PERMIT ****************************** ,
CONTRACTOR,,,, COURCHAINE CONETRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/17/92 6600 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 5O.0O .00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING ' WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE C FR ` %T D TO THE %EWER MAIN
********* CALL POR I gE N PR?0H T0 C�v�R **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
********************* ****** *** THANK YOU *********************************