1991, 10-02 Permit: 91004966 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 authorizeo County to proceed with 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 APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 91004966 ISSUED PERMIT DATF= 10/02/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
ITE %TREET= 11311 E 311 %T AVE PARCEL4!:= 28543-4906
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - %OUTH KOKOMO
***
SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 49 LOT= ZONE= AG%UB DI%T�=
AREA= OOOOOOOO WIDTH= DEPTH= R/W=
4 OF BLDG%= i 41, DWELLING%= i WATER DIET =
OWNER= EDWARD%, R PHONE=
STREET= 11311 E 31 %T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%ON PHONE NUMBER= 509 924 6077
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= J.R. II CONSTRUCTION PHONE= 509 924 6077
%TREET= i0504 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE %ING FEE Y 10,00
SEWER' CONNECTION i 40.00
******************************* PAYMENT %UHMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/02/91 7200 50. 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
--•
SEWER PERMIT 50. 00 5O.00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER_STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% 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 (45"-80OO)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
**** ******************** * **** THANK YOU *********************************