1991, 01-24 Permit: 90006392 Sewer SPOKANE COUNTY DEPAri. IIENT 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, arid authorize Spokane County to eea withnmoossmo In additionI 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
_ - — � ' — _
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PROJECT NUMBER= 90006392 DATE= 01 /24/91 PAGE= Oi
I ISSUED PERMIT
!!.. * ************************** PERMIT INFORMATION ****************************
SITE STREET= 11214 E 19TH AVE PARCEL4= 28542-2302
ADDRESS= SPOKANE WA 992O6 '`
PERMIT USE SEWER CONNECTION - NORTH KOKOMO
_SEE
PL T4= 001393 PLAT NAME= KOKOMO TOWNEITE
BLOCK=- 7 LOT= ZONE= SFR DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= 1 4 DWELLINGS= i |
/
OWNER= SEVERANCE PHONE=
STREET= 112i4 E 19TH AVE - |
ADDRESS= SPOKANE WA 992O6 |
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5405
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ************�"»***************
CONTRACTOR= COUR HAINECON%TRUCTION PHONE= 509 924 5485
STREET= 16482 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /24/91 328 50.00
� TOTAL DUE=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 .08
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
� ^
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT TI-i!-:: rO"o
NTY
UTILITIES DEPARTMENT (456-3694)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, 1A1AfER LINES,. ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUB- ARE TO BE CHECKED PRIORTO CONNECTION JO :INSURE
THAT THEY ARE CLEAR N %T D TO THE SEWER MAIN
********* CALL FOR 'INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
F
SPECIAL CONDITION CHECKLIST
Project
Address: ___ -__ ____ Project#- __ _Ues
Dept: Date: Condition: mit Appr:
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(in) (out)
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Dept.of Bldgs.
Spocial |nnp FinalReport_
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THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE opOCCUPANCY ONLY
'`~'^'``'`-'``^^^`'~^~~
_
Date received for C/O processing: Plans pulled for final processing:
Temporary 0/0 issued: .Certificate of Occupancy issued:
Off ice file review by: Date:
Filed insp finaled uy:_- 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: __--____