1990, 12-31 Permit: 90006728 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-367
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 correctand amovz Spokane County to proceed with processing. In addition, I have reaand 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= 90006728 DATE= 12/31 /90 PAGE= 01
I%%UED PERMIT
**************************** PERHIT INFORMATION ****************************
%ITE %TREET= i07i9 E 19TH AVE PARCEL4= 28542-4311
ADDRESS= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION ' NORTH KOKOMO
*** SEE NOTE ***
PLAT4= 002393 PLAT NAME= %KYVI W ACRE% 1ST ADD
BLOCK= 3 LOT= 9 ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= DWELLINGS= i
OWNER= ALLAN, EDNA PHONE=
r-REFT= 187i9 E 19TH AVE
ADDHEgE= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
---
PROCESSING FEE FEE Y iO.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/31 /90 8279 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50.00 50,00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, ' '�A% PIPING, WATER LINES, ECT
CALL BEFORE YOU DIG (456-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UN B%T UCTE0 TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YGU *********************************
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
•
:`, • . :i:'.it )'. 4 ti f
Utilities__ _ _ __ Double Plumbing
• ULID
Other
•
—****•••""'"'""` ****** •:.z'THaS'S( ACEFOPCOMMERCIALPLANSTRACKING.,CERTIFICATEOF-0C:CU.PANCY.ONLY*'*****—**************—**—
Date
**********************•*****Date received`fod 0/0 processing. Plans pulled for final processtrg. ____
Temporary C/O issued,. 0erttficate of Occupancy
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: -- —