1992, 07-02 Permit: 92004941 SewerSPOKANE COUNT -DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
Icerllfy that l have examined this perm it/application. statethat the information contained In It and submitted by me or my agent tocompilesaid 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 at laws and ordinances governing this type of work will be complied with whether specified
herein or not. l understand that the issuanceot this permiVepplicationand any subsequent inspection approvals or Certificates of Occupancy shall not beconstrued to
glveauthorlty to violate or cancel theprovisionsof any state or local law regulating construction, orasa warranty of conformance with the provisionsof any stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92004941
ISSUED PERMIT DATE= 07/02/92 PAGE'== 01
*iE***************,E*iE*****#*# PERMIT
INFORMATION ##'#####*iE*******#*****#***#*
SITE STREET= 10922 E 31ST AVE PARCEL,== 45283.5422
ADDRESS== SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- SOUTH KOKOMO (92S--675)
*** SEE NOTE *tE*
PLATO= 001393 PLAT NAME== I(OKOMO TOWNS'ITE
BLOCK= 54 LOT== ZONE= UR --3.5 D :== F
AREA== 00000000 F/A= F WIDTH= DF::PTH= R/W==
4 OF BLDGS== 1 t DWELLINGS= 1 WATER DIST =
OWNER= GRIBLER, FRED PHONE= 509 927 0863
STREET= 10922 E 31ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME== DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT= NA REAR= NA
*********#**#************#*** SEWER PERMIT ######***#*#************iE****k
CONTRACTOR== COURCHAINE CONSTRUCTION
STREET== 1640: E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION
PROCESSING FEE
.SEWER CONNECTION
PHONE= 509 924 5.405
QUANTITY FEE AMOUNT
Y 10.00
40.00
iE***#*#iE**#******************** PAYMENT SUMMARY ########*******N****#**.*.****
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
07/02/92 5138 50.00
TOTAL DUE= .00 TOTAL PAID== 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAIL) AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
.._....____.......-..-
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUD AS --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 YOLI DIG (456-8000)
SEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE: CLEAR AND UNOBSTRUCTED 7O THE SEWER MAIN
*###*iE*#k CALL FOR INSF'EECTION PRIOR TO COVER *******#**
********* 24 HOUR NOTICE REQUIRED **********
*nom* *.*.*.*.**. 456.3604 *..*.**.*..*.***#
***********KW**k***1E*M**#******if THANK YOU *'X'.0.0.0*#iE#1EiEiii if*P**1E)E#*N******ti#*f