1991, 03-13 Permit: 90005230 Sewer SPOKANE COUNTYKDEPARTMENTOF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oamfymat/ovvooxammoum/opmm/vunnoom/on.ummmunxomm,mvnonnonmmoumnunoov»mntou»vmoonnvagentmoump000aiun rmit/application is true
and correct, and athorize Sxa County to proceed with processing. In addition, I have reaand 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= 900O5230 ISSUED PERMIT DATE= 03/13/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 108i2 E 19TH AVE PARCELO= 28542-4402
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - KOKOMO
*** SEE NOTE ***
PLA 4= 002393 PLAT NAME= %KYVIEW ACRES 1 %T ADD
BLOCK= 4 LOT= 2 ZONE= AGJUB DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= BENISH, W J PHONE=
STREET= i0812 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEWIS - TOM STONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
STREET= 1112 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
03/13/9i 1219 50.00
TOTAL DU:-DU[` . 00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O.00 50 .00 .00
------------- ------------
50,00 50,00
5O.O0 .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 IS TO FIELD LOCATE AND CONFIRM THE
�LEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
�
�XCAVATION
TO LOCATE BURIED CABLES : GAS PIPING, WATER LINES, ECT.
� � |
CALL BEFORE YOU DIG (45�-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( )
Lock Box.
Engineer's_ _-- RID/CRP .—_
Easements
Road Plans/Improvements
Bonds
Planning._ .. - Bonds. -_.
•
•
•
Utilities_____— __ Double Plumbing
w _ ULID
•
Other ..
•
THIS SPACE FOR COMMERCIAL PLANS:TRACKING:CERTIFICATE OF OCCUPANCY ONLY*.*****"""'*`"y"'"""'$'""
Date received for 0/0 processing: .Plans pulled for final processing: _
Temporary 0/0 issued: _ _ Certificate of Occupancy issued:
Office file review by ___ r___-_ . Date:.
Filed hasp finaled by;________
_ __. Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: ___-- ---------.____. Date:
Plans returned: _-- . Received by:
No response from owner/contractor-plans destroyed: