1991, 05-28 Permit: 91001650 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 n 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= 91OOi65O
I%%UED PERMIT O5/28/9i PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 2805 % PIERCE RD
SPOKANE WA 99206
ADDr
PERMIT
*** J
%EWER CONNECTION %OUTH KOKOMO
PL TO= 001393
BLOCK= 42
AREA= O0O000O0
OF Bi
PLAT NAME=
LOT=
r =
��
DWELLINGS=
OWNER= ATKIN%ON MARGARET
%TREET= 2805 % PIERCE RD
ADD :EE= SPOKANE WA 99206
CONTACT HAME= RON %LOAN
BU%ETBACK%FRONT= NA
*****************************
CONTRACTOR=
%TREET=
ADDRE%%=
PARCEL*- 28543-4208
KOKOMO T WN%ITE
ZONE== Af.%UB
F WIDTH=
WATER DIET
PHONE=
=
�H=
PHONE NUMBER= 509 922 85OO
LEFT= NA RIGHT= NA REAR= NA
—
SEWER PERMIT
LW Y% ACTIVE
PO BOX 141562
SPOKANE WA 9921
ITEM DESCRIPTION
-------------------
PROCE%�IN� FEE
�
SEW ER CONNECTION
*******************************
PAYMENT DATE
O5/28/9i
TOTAL DUE=
PERMIT TYPE
EEWER PERMIT
PERMIT
4
******************************
QUANTITY
--------
PHONE= 509 922 8500
FEE AMOUNT
----------
iO.00
40.00
PAYMENT %UMMARY ****************************
RECEIPT4
3237
.00 TOTAL PAID=
AMOUNT PAID
-------
5O.00
50,00
FEE
FEE AMOUNT
5O.00
-------------
5O.00
PROBY: JULIE %HATTG
PF 7NTED BY: JULIE %HATTO
SEWER %TUB A% -BUILT INFQRMATION
UTILITIES. DEPARTMENT (456-3604)
CONIRACiuR OR APPLICANT I
ELEVATION AND PO%ITION OF
EXCAVATION
TO LOCATE BURIED
CALL BEFORE YOU
SEWER ETUDE ARE TO. 2,-.
/no/ THEY ARE CL�HK
_ _ �
********* LOLL
********* 24
*********•
PAYMENT AMOUNT
50,00
50.00
AMOUNT
AMOUNT OWING
------------
.00
------------
.00
IS AVAILABLE AT THE COUNTY
AND CONFIRM THE
}R TO ANY OTHER
TO FIELl
%EWER %Ti
E%, 'GAS PIPING, WATER LINES, ECT.
45�-8OOO)
CHECKED PRIOR TO
B%TRUCTED TO
ION PRIOR TO [
NOTICE REQUIRED
456-3604 •'
CTION TO INSURE
...',EWER MAIN
**********
**********
**********
************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date: Condition:
Project # Use:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
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 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: