1991, 07-09 Permit: 91002458 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 proceedwxhn,voouomn In addition / have read and understand the INSPECTION REQUIREMENTS/NOTICEprovisions 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= 91002458 ISSUED PERMIT DATE= 07/09/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1821 S PIERCE RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATt= 001393 PLAT NAME= KOKOMO WN%ITE
BLOCK= LOT= ZONE= UR -3.5 DI%TO= F ''-'= 00000000 = F WIDTH= DEPTH= R/W=
4 OF B= i 4 DWELLINGS= i WATER DIST =
PARCELO= 28542-2204
OWNER= MEYER' EDWARD
STREET= i821 % PIERCE RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 924 0781
CONTACT NAME= TERRY COURCHAINE PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-----------------' -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/09/91 4528 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
SEWER PERMIT
PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------ _____________
50.00 58.00 .00
----------- ------------
_____________
50.00 50.00 .00
PROCESSED BY: JULIE JHATTO
PRINTED BY: JULIE SHATTO
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 YOU *********************************
Project
Address:
Dept: Date:
------------
Dept. of Bldgs.
Engineer's
Planning
Utilities —_
,t
Other
ti
SPECIAL CONDITION CHECKLIST
Condition:
Project #
Use:
Special Insp. Final Report
Hydrant ( )
Lock Box
•
RID/CRP
Easements : •
Road Plans/Improvements
Bonds
Bonds
•
Double Plumbing
ULID
!nit:
(in)
Appr:
(out)
--**— *****"` *"THISSPACEFOA'COMMERCIALPLA['ISTRACK!NG;CERTIFICATEOFOCCUPANCYONLY:""'*"""'°""""`""'*"`"
Date received for C/Oiprocessing!'
Temporary C/O issued ,_
Office file review by
Filed insp finaled by.
Plarispitied for final processing
Certifrgate of QQcup racy issued:
•
Date:
Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _.
Plans returned'
No response from owner/contractor - plans destroyed: __
Received by:
Date: