1991, 05-13 Permit App: 91002505 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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 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 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91002 505 APPLICATION DATE=: 05/13/91
****** THIS IS NOT A PERMIT ******
PENALTIES WILL.. BE: ASSESSED FOR COMMENCING; WORK WITHOUT A PERMIT
PAGE= Cfi
SITE STREET= 11014 E 23RD AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -• NORTH KOKOMO
*** SEE NOTE ***
PLATO=
BLOCK=
AREA
4 OF Bi_.DGS=
OWNER=
STREET=
ADDRESS==
001393 PLAT NAME=:
LOT=
00000000 F/A-
14 DWELLINGS=
THOMPSON
41014 E 23RD AVE
SPOKANE WA 99206
PARCE.i...4: = 8542-3609
KOKOMO TOWNSITE
ZONE= AGSUB
F WIDTH=
i WATER DIST
CONTACT NAME= GENE:: FORT?
BUILDING; SETBACKS: FRONT== NA LEFT= NA
•;t**************************** SEWER PERMIT
CONTRACTOR:- A & V CONSTRUCTION
STREET= 1425 N UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
FEE:: AMOUNT
50.00
50.00
PHONE=:
DIST:= F"
DEPTH= R/W=
PHONE NUMBER= 509 924 6162
RIGHT= NA REAR= NA
******************************
PHONE= 509 924 6482
QUANTITY FEE AMOUNT
10.00
i 40..00
AMOUNT PAID AMOUNT OWING
.00 50.00
,00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB 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 YOU D I f, (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 ****•n•*****
******************************** THANK YOU *********************************
Project
Address.
Dept:
Dept. of Bldgs.
Engineer's
SPECIAL CONDITION CHECKLIST
Planning
Utilities
Other
Date
Condition:
Project # Use:
Special insp. Final Report
Hydrant (
Lock Box
6/64
Easements
Road Planaliti1pfdvelments;1
Bonds
r •a
Bonds
s.
Double'PIumtiny
ULID
•
+:I
Init: Appr:
(in) (out)
r
:TH.iSSFACEFOR COM MMMERCIALPLANS TRACK. fNG;CERTJFiCATEOFOCCUPAtVCYO1ILWI"""`t"`*********"********
Date -received fixr CG.O-prcicessing' :_:. :.+r.'+_',.� _ _ :'Plans ptfTtetl fdfiinbtrpfatessirtg. .it(
Temporary C/O issued
Office file review by'
Certificate of Occupancy issued
Date:
Filed insp finaled b f. Date:
Ninety days after 0r0 issuance:
Owner/contractor called regarding the return of plans:
Plans returned Received by
No response from owner/contractor - plans destroyed:
Date
DEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
•
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
INVOICE
DATED: May 13, 1991
TO: A & V Construction
North 1425 University Road
Spokane, Washington 99206
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application #91-2505
DATE PROPERTY ADDRESS FEE
05/13/91 East 11014 23rd Avenue $ 50.00
Amount due and payable $ 50.00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to May 23, 1991. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
fh
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY • SPOKANE, WASHINGTON 99260-0550 • (509) 456-3675
FAX (509) 456-4703
DEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
•
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P E., DIRECTOR
INVOICE
DATED: May 29, 1991
TO: A and V Construction
North 1425 University Road
Spokane, Washington 99206
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application - Second Notice
DATE
05/29/91
PROPERTY ADDRESS FEE
East 11014 23rd./91-2505 $ 50.00
Amount due and payable $ 50.00
Pursuant to your request for the above permit application payment
must be received prior to June 8, 1991. Failure to remit this
amount on or before this date will result in a investigation fee
being assessed.
Thank you for your prompt attention.
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY • SPOKANE, WASHINGTON 99260-0550 • (50Q? 456-3675
FAX (509) 456-4703