1990, 11-09 Permit: 90006053 Sewer SPOKANE COUPTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/ov^nvmut/pavoexummoummpmmmon»/munoo.nmtomatmomm,muounoontxmoumxanuouum/oouuvmoonnvagentmoomvnosamn rmit/application is true
and correctand authorize Sokane Contto proceed with processing. In uuu/ I have read o understandm 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 .eee../c APPLICATION _ct
OWNER OR AGENT,A4A--1.0 Ak/ DATE
„
PROJECT NUMBER= 90OO6053 DATE= ii /09/90 PAcE= Oi
IUED PERMIT
**************************** PERmIT INFORMATION ************************** *
SITE STREET= 11318 E i9TH AVE PA = 28542-24O6
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= ZONE= AG%UB DI%TO=
AREA= 00009750 F/A= F WIDTH= 75 DEPTH= 130 R =
� OF BLDG%= i 4: DWELLING%= iO
OWNER= MERRILL , RON W PHONE= 509 926 9167
STREET= 11318 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALL PHASE PHONE NUMBER= 5O9 455 8275
• BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA-
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALL PHASE EXCAVATION PHONE= 509 455 8275
STREET= 1219 % MONROE %T O03
ADDRESS= SPOKANE WA 99204-8000
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 4OOO
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
ii /09/90 7153 50.00
TOTAL DUE=DUE= .C.)O TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00
------------- ------------ -------------
5O...OO 50 00 .00
PROCE% ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPING, WATER LINES, ECT,
1
CALL BEFORE YOU DIG (45"-8O0O)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND 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#_ a-----_-_-__-- _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._..
•
•
THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY""""'"""***"•"
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 0/0 issuance:
Owner/contractor called regarding the return of plans: __--__ —_ Date:
—. Received by: ________
No response from owner/contractor-plans destroyed:________