1991, 01-03 Permit: 90006713 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 authorizeSpokane Conty 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= 900067i3 DATE= 01 /03/9i PAGE= 01
I%%UED PERMIT
Y.************** ************ PERMIT INFORMATION ****************************
%ITE �T�FET= 1i322 E i8TH AVE PARCEL4= 28542-2iO4
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLA t= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 5 LOT= ZONE= SFR DI%TO= F
AREA= 00008000 F/A= F WIDTH= DEPTH= R/W=
� OF BLDG%= i 4 DWELLINGS=
OWNER= HUBBLE HAROLD PHONE=
STREET= 11322 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%ON - JR II PHONE NUMBER= 509 924 6077
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= j, R, II CONSTRUCTION PHONE= 509 924 6077
STREET= 10504 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------- -
PROCESSING FEE Y i0.00
SEWER CONNECTION 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
01 /03/9i 42 50 . 00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
;;;; MIT TYPE ' � F AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O. 00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATIONAND POSITION OF SEWER STUB PRIOR TO AO OTHER
EXCAVATION TO LOCATE BURIED CABLES:, GAS PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T D TO THESEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER *****��***
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project# — Llse,_______.___._----------__—_._---
Dept: Date: Condition: Init. Appr:
(in) (out)
Dept.of Bldgs. ---- - ------ — -- — ----_. _______ ----- ------ -----------
Special Insp. Final Report---__._ �-------_---_ —
------- ------ -- -- Hydrant( ) --_--�_ -- ---_--
Lock Box
Engineers___.____-- __-- . RID/CRP . —_--
Easements •
Road Plans/Improvements
________ Bonds
Pla •
nning Bonds
---- __. Bonds
Utilities_-- _ _ Double Plumbing
ULID
•
•
Other___._.____.
•
.
•
•
--** —******"THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCYONLY'""
Date received for C/O processing: :Plans pulled for final processing:
Temporary C/O issued -_-- . Certificate.of Occupancy issued:
Office file review by: Dale:
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:___ —_—_—