1991, 05-28 Permit: 91001580 Sewer -' - � � - - °�
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SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
/ �POKANE.WASHINGTON 89260
(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 Sokane Conty to proceed with processing. In additionI 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 __
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� —
PROJECT NUMBER= 91081580 ISSUED PERMIT DATE= 05/28/91 PAGE= Oi
** ************************* PERMIT INFORMATION ****************************
SITE STREET= 11123 E 19TH AVE PARCEL4= 28542-2206
ADDRE%%= SPOKANE WA 99206
PERMIT u%E= %EWER CONNECTION — NORTH KOKOHO `
*** SEE NOTE ***
]
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
, �
BLO� = 6 LOT= ZONE= %FR DI%TO= F
.
AREA= OOOOOOOO ESA= F WIDTH= DEPTH= R/W=
, 0 OF BLDG%= 1 il, DWELLING%= i WATER DIST =
OWNER= %H LE, E R PHONE=
' %TREET= ii123 E 19TH AVE
,
ADDRESS= SPOKANE WA 99206
1
. CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 85OO
•
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHI= NA REAR= NA
********** ****************** SEWER PERMIT ******************************
| CONTRACTLR= ALWAYJ ACTIVE PHONE= 50c,) 922 S500
STREET= PO BOX 141562
ADDRE%%= %POKANE WA 992i4 —— — —
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- .. ...................................
PROCE%%IN� FEE iO. 8O
SEWER CONNECTION i 40.00
/.
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.
******************************* pAYMENT %UMMARY ****************************
,
PAYMENT DATE RECEIPT� P�YMENT AMOUNT
05/28/91 3238 550 ... 00 .
+ ------------ |
TOTAL DUE= OO TOT PAID= 5O OO
^ ^
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
� _---_-----------
. ------------ -------------
SEWER PERMIT 50�_ _�_
OO 50 OO OO
__________ _ ________ _ _____ ___�__
� ^ 50.0O 50.00 .O::7)
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
. SEWER %TUB �`—BUILT INFORMATION I% AVAILABLE /}T THE COUNTY
'^
UTILITIE% DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE |
�
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TOLOCATE' BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (45u-8OOO)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND', UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN T ON PRIOR TO COVER **********
********* ' 24 HOUR N6:TICE REQUIRED **********
********* 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 - —
-
- Bonds
Planning _ — — Bonds — —
Utilities _— Double Plumbing
ULID —
Other -- —
'7* 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:_ __ — -- -- — --