1991, 03-28 Permit: 91000536 Sewer 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
PROJECT NUMBER= 91000536 ISSUED PERMIT DATE= 03/28/9i PAGE= Oi
**************************** PERMIT INFORmATION ****************************
%ITE JTREET= ii3i5 E 1 81 AVE PARC ::3542-2.005
ADDRE%J= SPOKANE WA 99206
' `
PERMIT USE- SEWER CONNECTION - NORTH KOKOMO
� -
*** SEE NOTE ***
PL 4= 001393 PLAT NAME= KOKOMO TOWNETTE
` | BLOCK= 4 LOT= ZONE= EER
. | AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= 0 DWELLINGS= i WATER DIET =
OWNER= HINT ' EDWARD PHONE=
� | REET= 113 5 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
** ************************** %EWER PERmIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
� . ITEM DESCRIPTION QUANTITY FEE AMOUNT
� ------------------------- -------- ----------
i PROCE%%INFEEY iO.00
SEWER CONNECTION 40.00
******************************* PAYMENT %UMMARY ****************************
[
� | PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
K | 03/28/91 1626 50.00
TOTAL DUE=DUE= .00 TOTAL PTD= 50 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
/ --------------- ------------- -----_------ -------------
SEWER PERMIT 5O.00 50...00 .00
------------- ------------
50.00 50.00
5O^0O .0O
,
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
TILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, ��� PIPING,F , WH ! ER LINES,MES, EC | `
/
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR %T D 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: mit: App,:
(in) (out)
Dept.of Bldgs. ! '
Special InspFinal 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 OFOCCUPANCY ONLY`^^^~^~^^'^~~~~`^~`~^```~^
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dote:
Filed insp finaled by: Date:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor plans destroyed: