1991, 11-27 Permit: 91006549 Sewer Aummiewmigimmoommmommw msmmr
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vom,vmvt/huvoexummvum/vpmm/Vuppnvauoo.mummatmomm,muuonoonmmeumuvnuavumntouuvmoonnvagennuoomnnooumpermit/application/xtmo
and correct, and authorize Spokane County to mv000 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= 91006549 ISSUED PERMIT DATE= 11 /27/9i PAGE= 01
**************************** EERMIT INFORMATION ****************************
EITE STREET= 10820 E i9TH AVE FARCE L.4= 28542-44 'Oi
ADDRE%%= %POKANE WA 99206
' |
PERMIT USE= %EWER CONNECTION — NORTH KOKOMO
*** EEE NOTE *** . `
! P OO2 93 PLAT NAME= SKYVIEW ACRES i %T ADD
BLOCK= 4 L0 Tt::: i ZO = AG%UB DI%T�= F
AR O0000000 F/A= F WIDTH= DEPTH= R/W=
4 O BLDGE= i 4 DWELLINGS= i WATER DIST =
OWNER= POWER PHONE=
STREET= 10820 E 19TH AVE
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 14i562
ADDRESS= EPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y i000
SEWER CONNECTION i 40 . 00
� ******************************* PAYMENT %UMMAP; ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
i /27/9i 9068 50.00 -
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
. —
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50.00 . 00 e
PROCESSED BY : JULIE %HATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER. STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO. FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING , WATER LINE%, ECT .
CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%||RF
THAT THEY ARE CLEAR AND UNOBSTRUCTED- TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YGU **************************** ****
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 _
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:
Plans returned: __ Received by: ____________
No response from owner/contractor-plans destroyed:____ __ __