1990, 11-15 Permit App: 90006187 Sewer ��
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
{
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99268
(509)456-3675
/oe,mvmat/ouvoovummoummwerm/umnnovonon.otutema,mom,n,muuonoontumoumnonuoubmutoourmoonnvagentmoomv./eoaiup rmit/application is true
and correctand athorize Sx County to proceed with processing. In addition, I have reaand understandmo 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= 90006187 DATE= 11 /15/90 PAGE=
APPLICATION
****************************** APPLICATION *********************************
SITE %TREET= 1915 % %KIPWORTH RD PARCEL4= 28542-24O9
ADDRESS= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** EEE NOTE ***
Pi_AT0= 0OI393PLAT NAME= KOKOMO TO7.;,TTE
C��^ LOT= ZONE= AL%VB
AREA= OOOOOOOO F/A= F WIDTH= 'DEPTH= R/W=
4 OF BLDG%= i 4 DWELLING%= i
OWNER= KRUPP B B PHONE=
STREET= 1915 % %KIPWORTH RD
ADDRESS= 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 & S CONSTRUCTION . PHONE= 509 926 8964
%TEET= 11817 E VALLEYWAY AVE
ADDRE%J= SPOKANE WA 992O6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------- ----- -------- �----------
PROCE%%ING FEE Y 1000
SEWER CONNECTION i 40 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-' ----------
50.00 .00 50.00
------------- ------------ -------------
5O.00 .00 5O.00
PROCESSED BY : JULIE %:-ATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINF%, 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 gEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU
SPECIAL CONDITION CHECKLIST
Project
Address: ____ _ —__ _._Project#
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
___ — — Special Insp.Final Report _ _
— Hydrant( )
— —_� Lock Box
Engineer's_ RID/CRP
--_ _ Easements. --_ —_
_ _ _ — Road Plans/Improvements
_ Bonds —_
Planning _ Bonds
Utilities Double Plumbing
ULID •
Other _
•
•
'********************`*********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:
I �
JOB ADDRESS: I l L`t� I� ,e4
Q 46
SUBDIVISION: "1� 5 - ��09 LOT: BLOCK: p
OWNER: `(-�- ( . PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: