1990, 10-01 Permit: 90005016 Sewer SPOKANE COUNTY DEPARTMENTOF 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 eed with processing. In additionI 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 /V/Aa
OWNER OR AGENT DATE
. `
PROJECT NUMBER= 90005016 DATE= i0/0i /90 PAGE= Oi
ISSUED PERMIT
*******************�******** PERMIT INF:cYATION ****************************
SITE STREET= 10724 E 18TH AVE PARCEL4= 28542-4304
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** EEE NOTE ***
PLATO= 002393 PLAT NAME= %KYVIEW ACRES i %T ADD
BLOCK= 3 LOT= 4 ZONE= AG%UB DI%TO=
AREA= OOOOOOOO ESA= F WIDTH= S5 DEPTH= 135 R/W= T�
4 OF BLDG%= 7,WELLING%= i
OWNER= CONNOR%, MAX PHONE=
STREET= 10724 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%EN PHONE NUMBER= 509 924 6077
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= w^
***************************** SEWER PERMIT ******************************
CONTRACTOR= j.R. II CONSTRUCTION PHONE= 509 924 6077
.TT REET= 10504 E VALLEYWAY AVE
ADDRESS= %POKANE WA 99206
ITEM DESCRIPTION . QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
************************** **** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT-4 PAYMENT AMOUNT
10/01 /90 6009 50.00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT 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, - GAS PIPING, WATER LINES, ECT ,
CALL BEFORE Y7.! 7IG (456-8000)
SEWER STUBS ARE TO BE -CHECKED PRIORTO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR 'INSPECTION 'PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *** ******************* *********
SPECIAL CONDITION CHECKLIST
Project
Address: _-_-_ ---_-_--- Project# -- __-- Use: -_— _ — —__--
Dept: Date: Condition: Init: 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
'*****""""'Date received for C/O processing: Plans pulled for final processing:Temporary C/O 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: