1990, 10-05 Permit App: 90005153 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 u t 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJrT NUMBER= 9OOO5i53 DATE= i0/05/90 PA�E= Oi
-- ApPLICATION
****************************** APPLICATION '****************************
%ITE STREET- it02O E 23RD AVE PARCELO= 28542-3608
ADDRESS= %pOKANE WA 992O6
PERMIT USE= %EWER CONNFCTION - KOKOMO
PLAT4= 00 1393 PLAT NA F= KoKnmo T WNJTTE
BLOCK= LOT- ZONE= DIJT4= AREA= OOvoOOOO F/A= F WIDTH= DEPTH=
• i
/W=
O NE- K PHONE=
STREET- iiO2O E RD AVE
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % FHONF NUMBER- 509 ?7..,' ;7:,,64
BUILDING %ETBACK%: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWFR PERMIT ******************************
CONTRACTOR- H J CONSTRUCTION
_STREET= i18i7 E VALLEYWAY AVE
ADDRE%%= SPOKANE• WA 99206
ITEM DE%CRIPTION
--' ---------------------
PROCE%%ING •FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
-------- ----------
Y iO`O0
40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ SEWER PERMIT PERMIT 50.00 .00 50.00
------------- ------------
50,00 „00 .00 50.00
PROCESSED
JULIE %HATTO
PRINTED BYJULIE %HATTO
.SEWER
1UB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTfIT,�DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND coNFIR� THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTH�R
EXCYATION
TO LOCATE BURIE^
CALL BEFORE YOU DIU ',4D6—WWW)
ECT.
%EWER STUBS ARE TO BE CHECKE7 PRIOR TO CONNECTION TO INSURE
THAT TH[y ARE CLEAR AND UNOB%T"''~TED TO THE EEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
�
********* - HOUR
' **********
******************************** 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 Plans/Improvements
Bonds
Planning i I I Bonds
Utilities
Other
Double Plumbing
ULID
!nit:
(in)
Appr:
(out)
************************* ** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ******************************
Date received for C/O processing: Plans pulled for final processing•
Temporary C/O 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.