1991, 07-10 Permit: 91002504 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-367S
1 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
u correct, and authorizeu x County to proceed with processing. /n addition, / have read and understand the /wupsormw neou/nemswTmwor/ns
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 thatthe issuance ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancel the provisions of any state or local lawregulating construction, oras a warranty ofconformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF AppuoAT|Ow
OWNER OnAGENT oxTs
PROJECT NUMBER= 0002504 ISSUED PERMIT DATE= 0700/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10803 E 30TH AVE PARCELO= 28543-4509
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
***
SEE NOTE ***
PLATO= OOi393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 4 LOT= i8 ZONE= UR 3.5 DI%TO= F
AREA= 000ii3iO F/A= F WIDTH= 130 DEPTH= 87 R/W=
0 OF BLDG%= 0 DWELLINGS= WATER DIST =
OWNER= FR ELAND, TOM F PHONE=
STREET- i0803 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDERTGN PHONE NUMBER- 509 924 5505
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 994 4238
STREET= P O BOX 10557
ADDRESS= SPOKANE WA 9904
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 4O.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
RECEIPTO
PAYMENT AMOUNT
0700/91
4563
5O.00
TOTAL DUE= DUE=
.00
TOTAL PAID=
-----------
5O.00
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
-------------
--------------- -------------
%EWER PERMIT
5O.00
------------
50.00
.00
-------------
50.00
------------
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 LIMES, ECT.,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS 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 *********************************
Ninety days after /O issuance:
O ner/;antra,iror called rega,dlrrg the return of plans: _ ..--_—_ _------- __- ___-- _—___-, Cate:
Plans returned: Received by: ____---
ho response from owner/contractor - plans destroyed: _ ___w