1991, 12-18 Permit: 91002556 Sewer~ ' ' - ~ 41/m/0w/BNI°��=
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
N� 1303BROADV�AYAVENUE
/ �POKANE.WASHINGTON 992G0
(509)456-3675
/vo,mvmut/huvooxvmmeumwnmmmupvooauon.atvtemunhum/o,manonoonmmoumuunuxuum/«vuuvmoonnvagentmvomn./oouidv rmit/application is true
and correct, and authorizeo xu e Conty to proceed withnmommmo 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= 91002556 :ISSUED PERMIT DATF= 12/i8/9i PAGE= Oi
y
**************************** PERMIT INFORMATION ****************************
. |
SITE STREET= 11405 E 18TH AVE PARCEL4= 28542-2007
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - (VOID - DUPLICATE)
*** EEE NOTE ***
PLATO= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 4 LOT= ZONE= UR 3.5 DI%T4= 17.-
AREA=
AREA= O0000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGE= 1 _ 4 DWELLINGS= i WATER DIET =
OWNER= MARTIN PHONE=
%TREET= 1i4O5 E i8THAVE - ' `
ADDRESS= SPOKANE WA 99206 .
CONTACTNom E= TERRY COURCHAINE PHOE� NUMBER= 5O9 927 676O
BUILDING • %ETBACKS : FRONT= NA LEFT= NA RIGHT:::: NA • REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
/
******************************* PAyMENT SUMMARY ****************************
�
�
|
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
i2/18/91 9533 5O...OO
------------
TOTAL DUE= ^OO TOTAL PAID= 50.00
PERMITTYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 58.8O 50. 00 .00
� | ------------- ------------ -------------
� 50.00 50.00 .00
�
PROC E%%ED BY ' JULIE %HATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
' I UTILITIE% DEP A R T M E N T ( 456-36O4 )
i
i CONTRACTOR OR APPLICANT IS 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, POT.
. I CALL BEFORE YOU DIG '', 456-8000)
i
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
� ********* CALL FOR JN%PECTION PRIOR TO COVER **********
| ********* 24 HOUR NOTICE REQUIRED **********
. ********* 456-36O4 • **********
*********** ******************** THANK YOU ******* ********************* * *
I |
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
RoadPlans/Improvements
Bonds
.
•
Planning _ Bonds •
•
Utilities - Double Plumbing
ULID
Other
************************** * **THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY******************************
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: