1992, 02-28 Permit: 92000245 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 Spokane County to proceed 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 92000245 ISSUED PERMIT nATF,. 01
:,:. :::.:y}-:y.. :!i.:}j.:li.:fj.:!j.:, '. :.i.:,i. .'} }: i. INFoRmAiloN
SITE STREET- 11123 E 30TH AVE PARCELO= 2O543-47.i4
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO ( 92E-17)
::i*:g: .\ :..i.. NOTE!1
PLATO- 001393 PLAT NAME- KOKOMO TOWNETTE
BLOCK= 47 LOT- 1700 ZONE..
4 OF BLDGS= I 4 DWELLINGS- I WATER DIET =
STREET- 11123 E I AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALWAYS ACTIVE — RON SLOAN PHONE NUMBER= 509 927 f;:z50
BUILDING SETBACKS : FRONT=•. !
:d.:d.:d.:,'*:d.::'*:i..:i.*::'.::i.::'..i,:5'.:'. '.:y. ::j.d
.: .. .. .} .. .. .! .. 1. -. ,. .1 .. .I .. .I II :ij.:!(.:yj.:,i.:lj.:!y.:: '.:yi.:: :,j.:, :lj.::}:
CONTRACTOR- idi ALWAYS ACTIVE i.:i i i
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
IiEm QUANTITY FEE AMOUNT
10 , 00
SEWER CONNECTTON
.. !} .f t .. .. .. ,. .. ::i.:vi.:}j. :j.:yj.:}}::: :,}::}j.:, :.} *:}f.:ti.:, *:!l::: :i(..!:::
PAYMENT
DATE RECEIPT4 PAYMENT AMOUNT
................................................
PERMITTOTAL DUE'. ,00 TOTAL RAID.. 50 , 00
•
PFRMTT 0,00 50,00
50, 00 50 , 00 , 00
PRINTED BY : DOMITROVICH , ROBIN
EWER STUB AE—BUILT INFORMATION TE AVATLALE AT TW:: Cft;NTY
UTILITTEE DEPARTMENT ( 456-3604)
ELEVATION AND POTTION OF EEWER ETUB PRIOR TO ANY OTHER
EXCAVATION
CALI BEFORE YOU DIG ( 45 -8000',
THif:YT ' HEY ARE CLEAR AND UNOBETRuCTED TO THE SEWER MAIN
:Ji:KY CALL FOR INSPECTION PRIOR TO COVER :kA:kK :kk::
24 HOUR NOTICE
f`-