1992, 06-29 Permit: 92003044 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)45G -3G75
1 certify that! haveemminedth is permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application permit/applicationis true
and correct, and authorize n kaCounty to proceed with processing. In addition, / have read and understand the /wupsormw REQUIREMENTS/NOTICE
provisions included herein and agreetocomply with same. All provisions of lawsand ordinances governing thistype ofwork will becomplied with whether specified
herein ornot. 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF AppuCAT|0m
OWNER onAGENT DATE
PROJECT NUMBER= 92003044 ISSUED PERMIT DATE= 06/29/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10820 E 0%T AVE PARCELO= 45283.5338
ADDRESS- SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO (92%-422)
***
SEE NOTE ***
PLATO= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= ZONE= UR -3.5 DI%TO= F
AREA= F/A= F WIDTH= DEPTH= R/W= 70
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= %KEMAN, DAN
STREET= i0820 E 3i%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION
BUILDING SETBACKS: FRONT= N/A LEFT= N/A
*****************************
SEWER PERMIT
PHONE= 509 924 800
PHONE NUMBER= 509 924 5485
RIGHT= N/A REAR= N/A
******************************
CONTRACTOR= COURCHAINE CONSTRUCTION
PHONE= 509 924 5485
STREET= i6402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY
FEE AMOUNT
------------------------- --------
PROCESSING FEE Y
-------------
iO.00
SEWER CONNECTION
i 40.08
******************************* PAYMENT SUMMARY
****************************
PAYMENT DATE RECEIPT -44:
PAYMENT AMOUNT
06/29/92 4963
5O.00
TOTAL DUE= DUE= .00 TOTAL PAID=
50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID
AMOUNT OWING
-------------
--------------- ------------- ------------
%EWER PERMIT 50.0O 58.00
------------- ------------
.00
-------------
50.0O 50.0E.)
.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
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
�A% PIPING,
TO LOCATE BURIED CABLES, '
WATER 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 *********************************