1991, 11-19 Permit: 91008016 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
0K1303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/app I ication, state that the info rmati on contained in it and submitted by me or my agent to compile said permit/app /.ma/ on is true
and correct, and uumunu,Spokane oo tym proceed w nx / In addition,I have read and understand the /wopscnomnEuu/nsmEwTSuwoTos
provisions included herein and agree to comply with same. All p ov ions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuanc mi pli tio and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or nnW the pr sio a at r10 all 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 — 0 — DATE // 4
PROJECT NUMBER= 000806 ISSUED PERMIT DATE= ii/i9/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= iO710 E 31%T AVE PARCEL*= 28543-5346
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION / SOUTH KOKOMO 9i%-76
***
SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 53 LOT= ii ZONE= UR 3.5 DI%TO= F
AREA::::F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGJ= i DWELLINGS= i WATER DISI =
OWNER= PACE ED PHONE=
—OWNER= iO7i� E 31%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= MOUNTAIN WENT MECHANICAL PHONE NUMBER= 5O9 928 247i
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 2471
STREET- 9ii6 E SPRAGUE AVE
ADDRESS- SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO0O
SEWER CONNECTION i 40.00
PAYMENT
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11/19/9i 8836 50.8O
------------
TOTAL DUE= .00 TOTAL PAID= 5O.00
__
PERMIT —TYPE
__ __FEE—AMOUNT _ —AMOUNT ___-----
^ ^
PAID AMOUNT OWING
SEWER PERMIT 5� OO 5O OO .00
------------- ------------ ---------------
50. 00 5O.�O .00
PROCESSED BY: JOHN LAR%ON
PRINTED BY: JOHN LAR%ON
SEWER STUB 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 PIPING, WATER LINES,ECT
CALL BEFORE YOU DIG (45�-8OOO) ^
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 *********************************