1992, 06-29 Permit: 92003926 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92003926 ISSUED PERMIT DATE= 06/29/92 F:AGE:= 01
**x' •+i•************** *+*3'***+i• PERMIT INFORMATION ********** 3t**
SITE:: STREET= 11224 E. 1ST AVE" PARCEL:„":_:: 45283.5501
ADDRESS== SPOKANE WA 99206
PERMIT USE-: SEWER CONNECTION -•• SOUTH KOKOMO (92S-541 )
*** SEE NOTE **+i•
PLAT4= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 55 LOT= i ZONE= UR--3.5 DI. >T O==
AREA=:: E:' A=:: F WIDTH== DEPTH= E_.','W_:.
4 OF BLDGS ' S w DWELLINGS= I WATER DIST =
OWNER= LARSON, BARRY PHONE=
STREET= 11224 E. 1ST AV
ADDRESS= SPOKANE WA 99206
CONTACT NAME:::: COURCHAINE EXCAVATION PHONE NUMBER= 509 24 5485
BUILDING SETBACKS : FRONT=: N/A LEFT= N/A RIGHT= N/A REAR:::: N/A
x•******+i**R*•*: :u•+i•*'*•*ai*•*+e*'*%* SEWER PERMIT 1y : K***********: ****'kJk'lk*3,*'A.••b.'3':**'1{
CONTRACTOR== COURCHAINE CONSTRUCTION I''i•ONl'== 509 924 5485
STREET= 16402 E:. VAL..L_EYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
*'x•a•**+i*•*x******+i'*+t***x****+**** PAYMENT SUMMARY **•ii'it**+r** *k•k•a:*******R.R.u.ri*.i,..p:
PAYMENT DATE RECEIPT„ PAYMENT AMOUNT
0
MOUNT-
0 ,/ ?9/9 '. 4963 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
-------------
50.00 50.00 .00
PROCESSED BY : DOMITROV IcH , ROBIN
PRINTED BY : DOMITROV ICH, ROBIN
SEWER STUB AS—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 PRIOR TO CONNECTION TO INSURE
THAT THEY r=ARE. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
x ;**•u+i** CALL FOR INSPECTION PRIOR TO COVER h:P:.}l.:R•b:'h:*74it•R
ii+hri ri**** e• 24 HOUR NOTICE REQUIRED 3E•»'fi•#+G**3i'##
456-3604 :A..b•fit :*&*•A;•k•*
** r r M k*pK Jt ki 4pt Yi A"r 9Pj § *i9H9 k+ + THANK y otii7 ) PAiir t k&i7iR i + yit 3iri9
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