1992, 04-28 Permit: 92002883 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l have examined this permit/application. state that the information contained In !land 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, l have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions Included herein and agree to comply with same. Allprovisionsof laws andoordinances
diiance ,go`vernin this
tor pe pe of work
ork will be llbecomplied with
whether
nspruedtd
herein or not.! understand that the Issuance of this permitiapp vk a pec approvals
give authority to violate or cancel the pro ons of any state or local' gulating co truction.°rasa warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE �f APPLICATION
OWNER OR AGENT (� DATE ,/_a g _P2
PROJECT NUMBER 920028B3 ISSUED PERMIT DATE== 04/28/97 PAG(:= 01
***X****************it*****ie PERMIT INFORMATION***itie**********ii-*****ie******
SITE ADDRESS= 55004
PO ANE WAS AVE
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO — (92S-408)
*** SEE NOTE. **X
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= LOT= ZON .- LIR-3.5
AREA= r -/A= F WIDTH=
OF BLDGS= 1 ; DWELLINGS= 1 WATER DIST
PARCEL;:= 28543-5420
DISTO=
DEPTH=
W=
OW IER'= PAUPST, GEORGE & TANYA PHONE= 509 928 6198
STREET= 11004 E 31ST AVE
ADDRESS== SPOKANE WA 99206
CONTACT NAME= COERCE: PAUPS'T PHONE NUMBER= 509 928 6198
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT- NA REAR= NA
*************ie#Tit**********it* SEWER PERMIT********ie*ieifie*****************
CONTRACTOR== OWNER
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE=
QUANTITY FEE AMOUNT
Y 10400
1 40.00
******************************it PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT.' PAYMENT AMOUNT
04/28/92 3092 50400
__-__..._
TOTAL DUE= .00 TOTAL_ PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50400 50.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
SEWER. STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
I VATIONTjANDD PAPPLICANT OFSSEWER STUBO FIELD OCATE PRIOR TODANYNOTHERTHE:
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456--8000)
SEWER STI BS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*ie**ie**x CALL FOR INSPECTION PRIOR TO COVER *MM'att*
***len******len***' 2 1 HOUR NOTICE REQUIRED ****
********* 456--3604 **x*******
**ie************************ie**** THANK YOU****************00e*************0