1991, 04-02 Permit: 91001537 Sewer ^-- �� - -- --� - � �
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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 correctand athorize Soku e Countym 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 4/
OWNER OR AGENT t \ DATE ;-7-9/
- �
PROJECT NUMBER= 91001537 ISSUED PERMIT �DATE= O4/O2/�i PAF-
Oi �
. .
PERMIT INFORMATION ****************************
%I/ E %TREET= i1412 E i8TH AVE PARCEL�= 29542-21O2 '
ADDRESS,- �
SPOKANE WA �92O6
[ ' -
PERMIT WEE= SEWER CONNECTION FOR KOKOMO TOWN%ITE |
*** SEE NOTE ***
PLATt= 00i393 PLAT NAME= KOKOM WN%ITE
BLOCK= 4 LOT= 5 ZONE= UR 3 . 5 DI%T4=
AREA-_ OOOOOOOO F/A= F WIDTH= DEPTH- R/W=
4 OF BLDG%= j 0 DWELLING%= i WATER DIST =`
OWNER= TVEIT, LOWELL PuGNE=
REET= 1i4i2 E i8TH AVE
� | - ADDRESS- SPOKANE WA 99206
CONTACT NAME= R & % EXCAVATING PHONE NUMBER= 509 773 4777
BUILDING %ETBACK% ' FRONT= NA LEFT= NA RIGHT- NA REAR= ��
-
***************************** %EWER PERMIT ******************�***********
� .
CONTRACTOR= R & % EXCAVATING CONTRACTORS PHONE= 209 773 4577
STREET= POB 90 CT
ADDRE%3= COUER D ALENE ID 83814
| ` �
ITEMDE%CRIPTION QUANTITY FFE AMOUNT
------------------------- -------- ----------
PRhCE%%7N6 �EE Y . iO .00 �� . ' -
SEWER CONNECTION � . O�
******************************* PAYMENT %UMMARY ****************************
PAYMENT DAT[ RECEIPT4
O4/O2/9i 1745
__---------_
TOTAL DUE= .00 TOTAL PAID= 70 „00-
PERMIT
O .0OPERMIT TYPE FEE AMOUNT AMOUNT PAID AmOi!NT CWIN�
| --------------- ------------- _----------- -------------
PERMIT 50 .00 50.00 ^ OO
------------- ------------ -----�------- /
5()„00 5O.00
PROCESSED ''' JOHN LAR%ON
PRINTED JOHN LAR%ON
.
•
%EWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE CGUNTY
UTILfTIE% DEPARTMENT (456-3684)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
' TO OC . TE �U�IED'C . SLE% �,� PIPIN� . A
'
CALLBEFO�E �SU DIG ( 45�Y
SEWER STUBS ARE ,JO .bE CHECKED PRIOR TO CONINFCTIGN TO JNsU:,,F
THAT THEY ARE CLEAR AND UNOBSTRuC7E mATN
********* CALL FOR INSPECTION PRIGR TO COVER **********
"
********* ---24 HOUR-N�Ofu.E� eIp�fPF�-
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: __.______.--- Project#-------------___ ._____._..___.___�_Use:------------------__.-----_____...--_-_-_-
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
— Lock Box
Engineer's --_-- _ RID/CRP
-------______ Easements_ ___ _ — _—_--- _________
Road Plans/Improvements ___________
_ —______ v . Bonds
Planning------____-- ---- Bonds
Utilities.--------- 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:--_
Received by: _
No response from owner/contractor-plans destroyed_