1991, 08-28 Permit: 91005394 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that! 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 ancel 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 constru ion.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT 1`*?LIMBE:R= 0005394 ISSUED PERMIT DATE= 08/28/9i PAGE= Gi
•1!- 7t ik • M' 'R• il• T' ' �l' 1!• it 3!' # i!- •}i• -/{• '/l i4• �F i+: iF iR- 3l �{' ri• i!- 1i
PERMIT Ii X!'ORMA IION 3!• $: Vit- �!- N' !�.• 1t- !k �' Jk ii' 1h 'R' i�.• fit• �R• 9!' ?l- )t -11: it• •t!• i4• i{ �t!'
SITE STREET= =16 E: 31ST AVE: PARCE::1...:„:=:: 28543-5339
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
** SEE MOTE ***
PLATO= = t:01;39 3 PLAT NAME= KOK.OMO TOWIN.SIT(_
BLOCK= 53 LOT=: ZONE= AGSUB DISTO Jr.
AREA= 00000000 F !A= F WIDTH= DEPTH= R/W=:
OF BLDGS= i 0 DWELLINGS= i WATER DISTOWNER= SHOGAN, JAMES M PHONE-:
STREET= 10816 E :3i ET AVE
ADDRESS=: SPOKANE: WA 99206
CONTACT NAME:: MTN WEST MECHANICAL.. PHONE NUMBER= 509 928 2471
BUILDING SETBACKS: FRONT= NA LEFT=:: NA RIGHT= NA FiEAR::: NA
$: $: $."F: $.• $.• $.• 'li' $: 'P: R.:ri..j(..•p'.:p'..j�..A..A.• •P: 9l... p..y1..P• ii• P: �{• .A. •1{•
SEWER f � .:. ,t, ,� .
�.. T
-Y: al• il- i�: •R: iS $: 7t •k•')l"M' ii� $: $: !{. $: -J!- P: $.' $: 'li• .�. -P: ie :R• 1k $: 'P.•'A:
CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 247i
STREET= 9116 E SE'F?r=GUE: AVE
ADDRESS= 9POKANE WA 99206
ITEM DESCRIPTION TION QUANTITY FEE" AMOUNT
------------------------- -------- ..__.._----_--_.-._.
PROCESSING FEE Y 1&0-1)
SEWER CONNECTION i 40o00
T• $: $• 'P: •A: 'lt• ')l •A: $: 'iE i!' i4. 9t• F: k •H •ii $: •)t.• iR• 'P- A $: •i{• A: li• 'P: •1{ $.•
PAYMENT SUMMARY 'n' �• -A: $: �: � � � �• �: � �- •p: •>,.- �- -R• �• � �i $: � � h '�• �' �A 'A: -!>'
PAYMENT DATE RECEIPT;;: PAYMENT At'iil.UNT
08/28/91 6117 5000
----- _.
TOTAL DUE= s00 TOTAL.. PAID_ 50 .: 0,,
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ .___—_-_-.._..-..-._ __-_-.
SEWER PERMIT 5000 5000 loO
5010E) 50400 i0o
PROCESSED BY: :.JULIE. SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUD AS—BUILT INFORMATION IN AVAILABLE AT THF.:. COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD L..00ATE:. AND CONFIRM TETE::
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
I:ON
TO LOCATE BURIED CABLES, , GA ' PIPING, WATER LINES, ECT:.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE CHECKED F'RIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
xxx$:$:�i$rix
CALL FOR INSPECTION PRIOR TO COVE::Ft.
24 HOUR NOTICE" REfaUIi"iF.la
..........
............ ... .. . . a p. p.:A.:p.:A. '1t..». ji. lt• R- }r $: !t• it '1t -'P.-'1?. '1!-'F." 11• $: -ll i�: 1{' F"1f-: 94' it •1�:
�!- it �!- i!- �r 3r �e �- :� i!• •'n.� •�!- •a• i!• •��: �ir x- �- :N- �?- �!• :�. •>i- h -»- :+!- �- H it fi- 3!• $•
THANK 7 .. ..