1990, 10-01 Permit: 90005015 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
1 SPOKANE,WASHINGTON 99260
(509)456-3675
/uomfymvt/ha,eovxmmoum/onmmn/unnouuovn.mommutmomm,muoonoontamoumnunuouomntouuvmoonnvagentmc^mnn000mv rmit/application is true
and correct, and authorize Spokane County to proceed withnmoo ,mn In additionI 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�womou/��uoonntmm/on provisions
SIGNATURE OF /' �) APPLICATION
^/ AK`\
Ovvwsn0nAGENT ` 7— ��' = o�rs " `-�^ � ^^ ^
PROJECT NUMBER= 908050i4 DATE= iO/Oi /9O PAGE= Oi
'ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1i020 E i6TH AVE PARCEL4= 28542-9002
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO .
*** SEE NOTE ***
PLAT0= 999999 PLAT NAME= RANGE
BLOCK== L = ZONE= AG%UB DI%T4= F
�
A = OOOOOOOO F/A= A WIDTH= 65 DEPTH= iOO R/W=
�
| � OF BL = i :r; DWELLIN = i _ .
�
, OWNER= BODY , DCNAJ PHONE= -
STREET= 11020 E 16TH AVE
ADDRESS= SPOKANE WA 99204
CONTACT NAME= JIM NIEL%EN PHONE NUMBER= 509 924 6077
BUILDING %ETBAr'r : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ^^'' '� � ' - � �
!
| CONTRACTOR= J^R^ IT CONSTRUCTION
ll %TREET= 1O504 E ;ALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
J
! ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY *********************** ` ' . -
.
, PAYMENT DATE RECEIPT4
i0/01 /90 6008 50.00
| ------------
. TOTAL DUE= OO TOTAL PAID= 50.00
� ^
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
|
-------------
SEWER PERMIT� 5°'" 50.00 .00
------------- ------------ -------------
5O.�0 50.00 .00
PROCESSED BY : JULIE %HATTO
I
PRINTED BY JULIE %HATTO|
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED 7,: �LI'7| G,^.::: PIPING, WATER LINE%, ECT,
CALL BEFORE YOU DIG (45�-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IW|]RE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************
•
I
r_•
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:_.—_ _______________