1992, 08-27 Permit: 92006931 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
—.1i0i BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(508)456-3075
/ certify that / have exam moum/unmmmu»»xout/on state mutmomm,monvnoontumoumnand nvom/«eouvmoomv�entmcnmp/�oumv nnumvvxmnmn mmo
and correct, uauthorizea x County m �v000 with processing. In xuon/on / have read and vnuommnu the /wupscnom xEuu/xEmEm/^^mu..C=
provisions included herein and agree to comply with same. 61 provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand thatthe issuance ofthis permit/application and anysubseqwnt inspection approvals orCeAiTcates of Occupancy shall not beconstrued to
giveauthority toviolate orcancel the provisions of any state orlocal lawregulatin ruction,oras warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION Y_2
OWNER OR AGENT DATE —
PROJECT NUMBER= 9200693i ISSUED PERMIT DATE= 08/27/92 PAuE= O\
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11204 E 31%T AVE PARCEL*= 45283.55%
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO (92%-858)
***
SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWNSIOE
BLOCK= LOT= ZONE= UR -3.5 DI%T*= F
AREA:::: F/A= F WIDTH= DEPTH= R/�=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= WILLIAMS,DAVID L PHONE= 509 922 7367
STREET= i1204 E "i%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAVID WILLIAMS PHONE NUMBER= 509 922 7367
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.0O
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
08/27/92 7049 50.0O
------------
TOTAL DUE= .00 TOTAL PAID= 5O.8O
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 5O.0O 5O.00 .00
------------- ------------ -------------
50.00 5000 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUD 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 SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPINGWATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
THANK YOU *********************************