1990, 11-15 Permit App: 90006200 Sewer t
SPOKANE 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
" t ! ' NUMBER—
% fi" ;:::: 90006200
: . 6, i , APPLICATION j:. DATE=
r -: 11 /15/90
PAGE= `
t
APPLICATION
y:.: 1fi : 1yJ: !3hJ *t ¢ipsf **3jK9it : ?* * :k' t {ik71fj .*j * `*, µjfi } ¢**j;
SITE STREET= iel9 SKIPWORTH RD
PARCFL4=
ADDRESS= :•t-OK{•iNt::. WA 99206
PERMIT USE= SEWER CONNECTION _— NORTH KOKOMO
e jf.* SEE NOTE ,:*:!t•
PLATO= 001393 P _ANAME= S i < 3-C TOWNSITE
BLOCK= r . !Nt . s:t
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1 /A= F WIDTH= DEPTH= -
4 DWELLINGS=
OWNER= SCHLEPP, ROL...A^1{_; G PHONE=
i..iiar:...::
. STREET= t .-: t 1:r ,:r :.'.•K.I i'W t..{R t t..t RD
;:,,D.ii°.`l::.,•5= SPOKANE t,IA 99206
;�
NAME=: LEONARD i••I CONTACT ' ' NUMBER=
_ -T _ { : .
e964
BUILDING :tyB, Cir • FRONT= � ' 1 { _T. t � RIGHT= 7 - REAR= V-
n 9 :P ! P; 4bK :t i 9P 9 P: pPP: : nqJPP * SEWER iERMI_ nxA inx1 *PC { ;uui v * :**i : ; t**R: ';!
CONTRACTOR=
CONSTRUCTION
PHONE= _ tr }le964
L
STREET= : 1817 I Yl, L5YW- r AVE
ADDRESS= SPOKANE WA 99206
, TE. DESCRIPTION QUANTITY :'I:::i::: AMOUNT
PROCESSING FEE 10 .00
SEWER CONNECTION 40 .00
PERMIT TYPE i,..•, . AMOUNT AMOUNT
O N PiI' AMOUNT OWI G
SEWER PERMIT 50.00 :.00 _:0.. 00
50. 00 :.00 50.00
. PROCESSED t:; : ,..t t.{i._.i.t: SHATTO
>l...•xit...f+. STUB AS—BUILT INFORMATION ..... AVAILABLE f:I...Al:il-.E fi-i• } 'l:.. COUNTY
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, t:{A S PIPING, WATER LINES,
CALL E'Et"ORE. YOU : ,t i, 456....f3Ei00 ?
SEWER STUBS ,.;•,;.:• TO BE
CHECKED PRIOR
TO CONNECTION
TO
" d _C . . i tTO INSURE
THAT THEY A ? : CLEAR AND UNOBSTRUCTED i _ CIF
SEWER M{`:::t. -,
t ;nin tatiCALL tO R INSPECTION PRIOR T " COVER nu 7 * t n ;ixp
***3,:-*****:- 24 HOUR NOTICE Ri.QU.t-t':.t::.i.? i`*7k lk}t k*:i•'.'1;')i
.................. 456-3604 . .. ..•j,:... •....ii'..
„A: :J :P* ;: i : c L : R i : ai " Arrra :! :J ¢ THANK YOU JiYit; t 7 i .i :1}. *P: 1MNfik**4
SPECIAL CONDITION CHECKLIST
Project
Address: — _._ —_ _ Project#___—.— —_. Use:
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 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:—___-_—__ —_--
JOB ADDRESS: (,Z)QJel •kz/v-__&,
SUBDIVISION: d-'0 5 T " -/ d ? LOT: BLOCK:
OWNER: J c 14- o l -PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: