1991, 11-13 Permit: 91007103 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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, 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= 0007103 ISSUED PERMIT DATE= 11/13/91 PAGE= 01
PERMIT INFORMATION
SITE STREET= 11212 E 31ST AVE PARCEL4= 28543-5523
ADDRESS= SPOKANE WA 99206
PERMIT USE== SEWER CONNECTION - SOUTH KOKOMO
SEE MOTE ***
PL.-ATt = 001393 PLAT NAME= KOKOMO TOWNSITE::
BLOCK= 55 LOT= ZONE= UR -3.5 DI:STQ F"
AREA= 00000000 F/A= F WIDTH= DEPTH= I"/W=:
4 OF BLDGS= f 4 DWELLINGS= i WATER DIST =:
OWNER=:: HYMAN PHONE=
STREET" 11212 E 31ST AVE
ADDRESS=: SPOKANE: WA 99.'06
CONTACT NAME= MOUNTAIN WEST ME.CHANI:CAL. PHONE: NUMBE Rw 509 928 2471
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR::- NA
SEWER PERMIT
CONTRACTOR== MOUNTAIN WEST MECHANICAL PHONE= 509 928 2471
STREET= 9116 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
PROCESSING, FETE: Y i 0.00
SEWER CONNECTION 1 40.00
PAYMENT SUMMARY **************************
PAYMENT DATE
RECEIPTO
PAYMENT AMOUNT
11/13/91
8628
50.00
------------
TOTAL DUE=
.00
TOTAL PAID=
50.00
PERMIT TYPE: FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
SEWER PERMIT
50.00
5000
00
50.00
5000
00
PROCESSED BY: JULIE SHATTO
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAIL..ABLE. 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 LIMES, 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 MAIM
********* CALL. FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED ********#*
******** 456--3604 **********
******** ********************* THANK YOU *********************************