1991, 10-02 Permit: 91004839 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oemfvmut/xuvoo,ummoum/opmm/uunnoounon.atutemutmomfo,munonoontamoumnunuouom/uoou'moonnvagentmvomnno,omp rmit/application is true
and correct, and authorize SkCounty to moeou 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= 91OO4839 ISSUED PERMIT DATE- 10/02/91 F'�cF'= Oi
********** **************** PERMIT INFORMATION ************************* *
SITE STREET- 11317 E 31 %T AVE PARCELO= 28543-4907
ADDRESS- SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLA ;;;:= 001393 PLAT NAME= KOKGMO T WN%ITE
BLOCK= 49 LOT= ZONE= AG%UB DI%TT,=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 7�
;:;- OF BLDG%= i DWELLINGS- i WATER DIET =
OWNER= ADCOCK RON PHONE-
STREET- 11317 E 31 %T AVE
DDRE%%= %POKANE 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
STREET= 10504 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMH|/NT
------------------------- --------
-- . --- •
PROCESSING FEE Y i0 . 00
SEWER CONNECTION 1 40 . 00
******************************* PAYMENT %UMMARY ************************** *
PAYMENT DATE PAYMENT AMOUNT
10/02/91 7201 50 . 00
------------
TOTAL DUE= . 00 TOTAL PAID= 5O . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
�EWER PERMIT 50 . 00 50. 00 . 00
------------- ------------ -------------
50. . . O�
PROCE%%ED BY ' JULIE %HATTO
PRINTED BY : JULIE EHATTO
%EWER
STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 >
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFI�M THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLEEGAS PIPIN� , WATER LINES, ECT ,
1
CALL �EFORE YOU DI� (45"-8OOO>
%EWER JTUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%U�E
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YGU *********************************