1991, 10-02 Permit: 91005484 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 89260
(509) 456-3675
1 certify that I have exam inedth is permit/application, state that the information contained / it and submittedu/ me or my agentm compile said permit/application mtrue
and correct, and aut1horize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
prwisiorrs included herein and agree to comply with same. All provisions of hws and ordinancu governing this type of work will be complied with whether specified
hemin or not.1 unders5ndl that We isuance of this permit/application and any subsequent inspection approvals or Certi1icaks of Occupancy shallnot be constwed to
give authobty to violate orcancel We pmvisions of a" state orlocal law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER 0nAGENT DATE
PROJECT NUMBER= 91005484 ISSUED PERMIT DATE= %/02/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11019 E 29TH AVE PARCELO= 28543-4312
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
***
SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 43 LOT= ZONE= AG%UB DI%T*= F
AREA= OOOOOOOO F/A= F WIDTH= iOO DEPTH= 130 R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= SANDERS, ROBERT PHONE= 509 943 606
STREET= 2000 STEVENS i40
ADDRESS= RICHLAND WA 99352
CONTACT NAME= RON JOHNSON PHONE NUMBER= 208 458 9384
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= J & % CONSTRUCTION PHONE= 509 458 9384
STREET= 6i55 E HAYDEN AVE
ADDRESS= RATHDRUM ID 83858
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
RECEIPT�
PAYMENT AMOUNT
i0/02/9i
7244
50.0O
TOTAL DUE=
.00 TOTAL PAID=
------------
5O.0O
PERMIT TYPE FEE AMOUNT
AMOUNT PAID
AMOUNT OWING
---------------
%EWER
-------------
PERMIT
------------
50. 00 50.0O
-------------
.00
-------------
------------
50.010 50.00
-------------
.00
PROCESSED
BY: JULIE %HATTO
PRINTED
BY: JULIE %HATTO
SEWER STUB A%—BUILT
INFORMATION IS 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 CABLES,GAS
PIPING, WATER
'
LINES, ECT
' ^
CALL BEFORE YOU DIG
(456-8000)
SEWER STUBS ARE TO
BE CHECKED R R 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 *********************************