1991, 10-01 Permit: 91006385 Sewer I
40�
SPOKANE COUNTY DEPART��EN�OF BUILDINGS
W. BROADWAY1�0� 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 correctand authorize Sokane Conty to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisionsincluded h / and agree to co / ith sameAll provisions o .ws and ordinances governing this of work willuovompnoo withwxmhom mou
herein or not.I understand that the issuance of this permit/application and• subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any sta - re ing construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT ' �� o�Ts ��v��^^ ^^ 7/
PROJECT NUMBER= 91006385 ISSUED PERMIT DATF= 10/01 /91 PAGE= Oi
* ************************** PERMIT INFORMATION *********** ************ *
SITE STREET= ii314 E 31 %T AVE PARCELO= 28543-5622
ADDRESS= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION — %OUTH KOKOMO
*** SEE NOTE ***
PLATO= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 56 LOT= ZONE= AGUB DI%TO=
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 130 R/W= 70
4 OF BLDG%= i 4 DWELLINGS— i WATER DI% i =
OWNER= GUILBAUiT, MIKE PHONE= 509 922 8323
%TREET= ii3i4 E 31 %T AVE
ADDRESS= SPOKANE WA 992016
CONTACT NAME= MOUNTAIN WEST MECHANICAL PHONE NUMBER= 509 928 2471
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 2471
STREET= 9116 E SPRAGUE AVE
ADDRE%%= SPOKANE WA 992O6
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
%EWER CONNECTION i 40 .O�
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/01 /9i 7094 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 .00 50 .00 .00
------------- ------------ -------------
5O.00 50. 00 . 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER %TUB 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 %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%, GAS PIPING , WATER iINE%, ECT -
CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO "INSURE
THAT THEY ARE CLEAR AND UNOB%TR CTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
** ***************************** THANK YOU *********************************