1991, 09-06 Permit: 91005608 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 r0000 /m processing. In additionI have reaand 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 Xelee) APPLICATION 74 t?
OWNER OR AGENT DATE
PROJECT NUMBER= 91005608 I%%UED PERMIT DATE= 09/06/91 Pc,E= Oi
**************************** PERMIT INFORMATION ************************* **
%ITE STREET= 11222 E 30TH AVE PARCEL4= 28543-5030
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION — %OUTH KOMOMO
*** SEE NOTE ***
PLAT0= 001393 PLAT NAME= KOKOMO TOWN:ME
BLOCK= 50 LOT= 102 ZONE= AG%UB DI%T4=
AREA= F/A= F WIDTH= iOO DEPTH= 130 R/W= 70
4 OF BLDG%= i 0 DWELLINGS= 1 WATER DIET =
OWNER= FALCOR JOE N PHONE= 509 926 9994
f
%TREET= 11222 E "OTH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= JOFALCO JR PHONE NUMBER= 50'i926 9�94
BUILDING %ETBACK% : -FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION 4000
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
(D9/06/91 6333 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
PROCE%%ED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
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%ITIGN OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING , WATER LINES, ECT .
CALL BEFORE YOU DI� ( 45"-8OOO)
SEWER STUBS 10 BE CHECKED PRIOR TOCONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YGu *********************************