1991, 07-09 Permit: 91002554 Sewer ^ - -
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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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= 9i002554 ISSUED PERMIT DATE= 07/09/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i1405 E i8TH AVE PARCEL4= 28542-2007
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
P = 00.1393 PLAT NAME= KOKOM WN%ITE
BLOCK= 4 LOT= ZONE= UR 3.5 DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDc%= i 4 DWELLINGS= 1 WATER DIST =
OWNER= MARTIN PHONE=
STREET= 11405 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TERRY COURCHAINE PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : 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
------------------------- -------- --------
PROCESSING FEE Y 10 .00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/09/91 4527 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50. 00 5O.00 .00
------------- ------------
50,00 50 5O.00 .00
PROCESSED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
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, ECT,
CALL BEFORE YOU DIG ( 456-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO 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( )
I ock Box _
•
Engineer's RID/CRP
•-'• • • i- • . 77" i •••::
Easements.
Road Plans/Improvements
Bonds :
. r .
•
Planning Bonds -if." • • ••••••-
• . . . . . .
. . • . . .
. . • . . . . .
. . • •
. . . .
. .
Utilities. Double Plumbing
ULID
,•
, . . .
Other •• •
• •
. .
. . . . .
• .
. .
. . . .
•• .
THIS SPACE FOR COIVWERCIAL RLANS•TRAKING;:CEtiTIntATE:OF.00CUPAN:ICY
Date received for ClO proQteing; • . Plans putted for final procesAing:' --
Temporary C10 issued: • • • '• • • CeYtificate of Occupancy issued
Office tile review by:, •i• •)i•••• •••••-• Date: •
HIedinsp finaled by -............... Date: . .
N•nety days after CIO issuance:
Ownertcontrauter called regard•ng the return of plans- Date:
Piens ref-rimed- Received by;
No response from Owner/contractor -plans destroyed