1991, 10-02 Permit: 91005494 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
UV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)458'3675
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 permit/applicationis true
u correct, and authohze Spokane Cotym proceed with processing. In addition, / have read and unuommno the /wepsonow nsuu/nswsmTmwor/cs
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 ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shallnot be construed to
give authohy to vioNte orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER onAGENT DATE
PROJECT NUMBER= 91005494 ISSUED PERMIT DATE= iO/02/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 108i7 E 3i%T AVE PARCELO= 28543-5212
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION — SOUTH KOKOMO
***
SEE NOTE ***
PLATO= OOi393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 52 LOT= ZONE= AG%UB DI%TO= i:: -
AREA=
AREA= O0000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS- i WATER DIST =
OWNER= LODG%ON PHONE::::
STREET= iO8i7 E 31%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA CGURCHAINE PHONE NUMBER= 509 924 540-,'
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAW NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
TTFM nFTrRTPT7nw o//6uT7rv rpr uwm/ur
PROCESSING FEE \
7EWER CONNECTION i 4O.0 (")
******************************* PAYMENT SUMMARY ****************************
PAYMENT
DATE
RECEIPT� PAYMENT AMOUNT
iO/02/91
724i 50.8O
TOTAL DUE:::: DUE=
.00 TOTAL PAID= 5O .00
PERMIT
---------------
TYPE
FEE
-------------
AMOUNT AMOUNT PAID AMOUNT OWING
SEWER
PERMIT
-------------
------------ -------------_
5O.00 5O.00 .00
------------ -------------
5O.00 50.00 .0:71)
PROCESSED
BY: JULIE
%HATTO
PRINTED
BY: JULIE
%HATTO
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 PIPINGWATER LINES, ECT
' ' ^
CALL BEFORE
YOU
DIG (45-8O0O)
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 *********************************