1991, 03-28 Permit: 91000502 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
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and correct, and authorize Spokane County to ou withvmommmo In addition1 have readand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with "" = All
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SIGNATURE OF APPLICATION
OWNER ORAGENT DATE
PROJECT NUMBER= 91000502
ISSUED PERMIT DATE= 03/28/91PAGE= Oi
************************* PERMIT
SITE %TREET= ii015 E 23
ADDRESS= %POKANE WA
0 AVE
t92O6
INFORMATION
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO
*** SEE NOTE ***
****************************
PARCELO= 28542-3313
PLATO= 00i393 PLAT NAME= KOKOMO TOWN%ITF
BLOCK=. = i9 = ZO = A� B DI%Tw=
AREA= 000i3000 F7A= F WIDTH= iOO DEPTH= 130 R/W=
4 OF BLDGE= 0 DWELLINGS= i WATER DIST =
OWNER= %TAUDINGER. LOUIS J PHONE= 509 928 3620
%TREET= 11015 E 23RD AVE
-TEE= SPOKANE WA 99206
CONTACT NAME= LEONARD — H & % PHONE NUMBER= 509 926 8964
BUILDING %ETBACK%: FRONT= NA LEFT= NA RIGHT= NA REAR= NA •
SEWER PERMIT
***************************
CONTRACTOR= H % CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
FEE
SEWER CONNECTION
******************************
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
------ ----------
• y 10.00
40.00
******************************* �AYMENT %UMMARY ***************************
..�RECEIPT4 PAYMENT AMOUNT
03/23/91 1617 •
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
----------
SEWER PERMIT
FEE AMOUNT
-------------
50.00
-------------
5O.00
AMOUNT PAID
50.00
50.00 -----------
5O.00
AMOUNT OWING
-------------
.00
.00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THF COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
�LEVAT-ON AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
XCAVAIION
TO LOCATE �URIED CABLE%� �A% PIPING, WATER LD;E%, ECT.
CALL BEFOR� iOU DIu (45�-80O0)
SEWER STUBS -- -D BE CHECKE7 ~7IOR 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 *****************************�***
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use•
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Pians/Improvements
Bonds
Planning 1 1 I Bonds
Utilities
Other
Double Plumbing
ULID
!nit: Appr:
(in) I (out)
******************************* THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ******************************
Date received for C/O processing: Plans pulled for final processing -
Temporary CIO issued' Certificate of Occupancy issued:
Office file review by: Date:
Filed Insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date•
Plans returned: Received by:
No response from owner/contractor - plans destroyed: