1990, 11-16 Permit: 90005628 Sewer 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 correct, and authorize Sx County to 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
OWNER OR AGENT DATE
PROJECT NUMBER= 9OOO5628 DATE= 11 /16/90 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
%ITE ~EET= 11045 E 19TH AVE PARCEL4= 28542-4444
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE *** - -
PLAT4= 002 393 PLAT NAME= SKYVIEW ACRES i %T ADD
BLOCK= �T= ii ZONE= %FR DI%T�=
OOO�O000 = F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS=
OWNER= WARNICA, D W PHONE=
%TREET=
1i0i5 E 191H AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TERRY COURCHAINE PHONE NUMBER- 509 927 6760
BUILDING %ETBif':C= FRONT,. NA NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
, STREET= 13816 E i2TH AVE
ADDRESS= SPOKANE WA 99246
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--_---------------------- -------- ----------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION i 48.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /46/90 7343 50.00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE • FEE AMOUNT AMOUNT PAID ArY.-. T OWING
------------_ - ------------- ------------SEWER PERMIT PERMIT 50 .00 5O.00 .00
------------- ------------ -------------
- ` .. -. . . .
~ . ^ . ' '. ^ . .
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-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
�
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG ( 45 -80OO)
SEWER STUBS ARE TO BE CHECKED pRIoRTO CONNECTION TO:INSURE
�!
THAT THEY ARE� CLEAR EAR N 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_. ,.
------- Brant
------- --___-__ Lock Box._
------ ---------
Engineer's________ _—__- —_-, RID/CRP
— — Easements •
-------_- _—_ Road Plans/Improvements
— — Bonds
Planning____.--- ___--- Bonds_..
Utilities-�__.__—__. Double Plumbing—____
ULID
Other — — — — —_ — —.- —_
•
'""•""`"'""`• "'THISSPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATEOFOCCUPANCY ONLY
Date received for C/O processing: ________ . Plans pulled for final processing: _____
Temporary 0/0 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: