Loading...
HomeMy WebLinkAbout1991, 03-13 Permit: 90006324 Sewer SPOKANE COUNTY DEPARTMENT Ur 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, and correcand authorize Sx County to proceed with processing. In addition, I have read u understando INSPECTION Eo ME 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= 90006324 ISSUED PERMIT DATE= 03/i3/91 PAGE= Oi **************************** PERMIT INFORMATION **************************** %ITE STREET= 1092i E 19TH AVE PARCEL4= 28542-4109 ADDRE%%= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION - NORTH KOKOMO *** SEE NOTE *** PLATO= 002393 PLAT NAME= %KYVIEW ACRES 1ST ADD BLOCK= 1 LOT= 9 ZONE= SFR DI%TO= AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 4 OF BLDG%= i 4 DWELLINGS= i WATER DIET = OWNER= STOUT PHONE= %TREET= 10921 E 19TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= LEWIS - TOM STONE PHONE NUMBER= 509 928 77i0 BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA ****** ********************** SEWER PERMIT ****************************** CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710 STREET= iii2 N MAMER RD ADDRE%%= %POKANE WA 99216 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- PROCESSING FEE FEE Y 10,00 SEWER CONNECTION i 40 . O0 ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPTO PAYMENT AMOUNT 03/13/91 1236 50 .00 TOTAL DUE=DUE= .00 TOTAL PAID= 5O.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 50. 00 .00 ------------- ------------ 50,00 50,00 5O.00 .00 PROCE%%ED BY : JULIE %HATTO PRINTED BY : JULIE %HATTO SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604 ) CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING' WATER LINES, ECT, CALL BEFORE YOU DIG (456-8000) SEWER ETUBE ARE TO BE CHECKEDTOCONNECTION TO INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN ********* CALL FOR IN%PECTION PRIOR TO COVER ********** ********* 24 HOUR NOTICE REQUIRED ********** ********* 456-3604 ********** ******************************** THANK YOU ********************************* SPECIAL CONDITION CHECKLIST Project Address: preymct#- ___ -______ Use: Dept Date: Condition: !nit: Appr: (in) (out) Dept of Bklgs Special Insp.Final Report __' ___- ! _-- -- ------- Hydrant( ) Lock Box_ ____ _ _—� ! -- -- | - - -------------- --| -------- -- - ] � �------ ,. -----' ---| ----------' -- ` '` ' ' ' ' -�-�------- -- --�- ~ -�---- '� -- ��'' -^ i -�------ • Engineer's______'i R|D/CRP. , Easements / | Road Plans/Improvements �- �. -- ---- , -- ` . - - ---^---__ � ' . -------- -- ----- - '-- -��--�--+�� -- / �- � --- ' --- ! ------- ___-_- -_-__- _ -- ----- - - - -- --------- ------ | ----' � ---- ---------' -- -- - ---- ' �-���-�-� � � -- ' --- ! ------- ---------- - ----------- --| --- -�`, ' '^ ^ ' ` ` ^ | -- ' ------- ------- --! ------ --' -- ------- ------- Planning_ ~ '` ' ��_ �-�� .^_ � d�~_____ ° -- -- � -- • . � ' ` - ' - � •- ----- | ^ ' ' ~ - -- — ! - ---------- ------ -- --' ' ' ' '} - i ---- Double _ � __ �`� `� | - - UL|Q , �� — ,^ ^ r_'. .� 1rr`. --- ---| -- -- -- ------- ! ---- . '� Other - ' | ------ ---- -- . ---( -- --_`� ' � : | - - --- ---| -- | ---- ---- -- | --- -- -- - �- - -- -- ._ --- - ��-�=--- -------- ---------- -- -- - --��� - _ ' � | � ` . ----------| -- -------' / | ' -�� ^ �--- ``'�� � ��` ~/ ��.� � / �' `� | ! --- ---| -- � - - -- - . �� ------- | ----- . ' � ' `r ` ' '`~^^^^^~^^~'~^~~^~~~~^~~~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY-^^~~~`~^^^`^~~~`~~~~^~ ` �_ � . � Da��on,*u,b C/o � "'' -- �|r � � ' �� ��n"m' ' - .��' �� --r • -- � — � - processing*. Temporary C/O iaaued.— � ' . __________/� ; '[. � +;�Cortificate et Occupancy issued: ` • O�mefi�e*� by: � �w ' Da �_�_��_ F|ledinapfinaxed b^ - , ` ,__�-��` +�—'oate: • Ninety days afteC/O issuance: Owner/contractor called regarding the return of plans: ___-_____ Date: Plans returned: ____- __- _____ Received by: No response from owner/contractor plans destroyed.________