1991, 04-02 Permit: 91001548 Sewer �� ••°•wwmwwwww.
SPOKANE COUNTY NT OF BUILDINGS
W. 1303 BROADWA4�VENUE
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 authorizes kCounty to proceed withnmvoomo 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
OWNER OR AGENT DATE
PROJECT NUMBER= 91001548 ISSUED PERMIT DATE= 04/02/91 PAGE= Oi
************************* ** PERMIT INFORMATION ****************************
SITE STREET= 11223 18TH AVE PARCE28542-19i5
ADDRESS= SPOKANE WA 99286
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLAr,1= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= ZON =
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF DWELI_INC%= i WATER DIJT
OWNER= WILLAM%� PHONE= 509 926 9378
STREET= 11223 E 8TH
AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= THOMAS WILLIAMS PHONE NUMBER= 509 926 9.373
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TRW BACKHOE SERVICE PHONE= 5O9 926 937�
STREET= 11223 E 18TH AVE
ADDRESS= SPOKANE WA 99206-0000
ITEM DESCRIPTION QUANTITY FEE AMOUNT
� ------------------------- --------
-
PROCESSING FEE Y 10.80
SEWER CONNECTION i 40 .00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/02/91 1760 50 .00
------------
TOTAL DUE= .O0 TOTAL PAID=' 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50^00 50^00 ^OO
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUBINFORMATION A%-BUILT J% AVAILABLE AT THE COUNTY
UTILITIES 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 LO�ATE BURIED CABLE% �A� PIPIN�, WATER LINE%, ECT .
CALL HEFORE YOU DIG (456-800O>
SEWER STUBS ARE TO BE
CHECKED PRIOR TO CONNECTION TO I
N
%URE
THAT THEY ARE CL ^ AND UNOBSTRUCTED TO THE SEWER MAIN
********K CALL FOR'INSPECTION PRIOR TO COVER **********
********* 24 . "UNOTICE REQUIRED **********
********* .6
**********
* ********************** ******* THANK YOU ************** ******** ** ******
^ �
` �
SPECIAL CONDITION CHECKLIST
Project
Address: w_ 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. T_ — 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:--------_--_--_________-----____--