1990, 09-27 Permit: 90004935 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90004935
DATE= 09/27/90 PAGE,-
ISSUED
AGE=I%J;ED PERMIT
**************************** PERMIT INFORMATION ***************************
SITE STREET= 2505 % PIERCE RD PARCEL4= 28543-3i
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION 900i
*** SEE NOTE ***
PLAT4= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= = 3i LOT= ZONE= AG%UB DI%T4=
AREA= F/A= F WIDTH= DEPTH=
, OF BLDc%= i 41: DWELLINGS= i
•
OWNER= FROMVILLER, L L PHONE=
STREET -
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR- .-^.
***************************** SEWER PERMIT ******************************
R/W=
CONTRACTOR= H % CONSTRUCTION
STREET= i1817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
09/27/90 5920 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
_____ .�_____ �
SEWER PERMIT 5O.00 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED BY: JULIE JHATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A% -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 DIG (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 **********
******************************** THANK YGU *********************************
Project
Address -
SPECIAL CONDITION CHECKLIST
Project # Use:
Dept: Date:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init:
(in)
Appr:
(out)
******************************* THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY 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: