1990, 11-09 Permit: 90006054 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 Spokane County to proceed with nmcmmmn 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 levercd4 APPLICATION / H Gi 0
OWNER OR AGENT DATE
PROJECT NUMBER= 90006054 DATE= 11 /09/90 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
' }
PARC = 28542-2405
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLA 4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BL K= LOT= ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS=
OWNER= ALEXANDER K H PHONE=
STREET= 11322 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ALL PHASE PHONE NUMBER= 5O9 455 8275
SETBACKS : FRONT= NA LEFT= NA RI�HT= NA REAR= NA
*** . ' : . »******** S'EWER PERMIT ******************************
CONTRACTOR= ALL PHASE EXCAVATION PHONE= 5O9 455 8275
STREET= 1219 % MONROE %T 403
ADDRESS= SPOKANE WA 99204-0000
�
ITEM DESCRIPTION QUANTITY FFE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y iO .00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMAR; ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
11 /09/90 7154 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 . 00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED 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 CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE %EWER MAIN
****** ** CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******* *********************** THANK YOU *********************************
- ^
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SPECIAL CONDITION CHECKLIST
Project
Address: _-____- ___—___ _._.__-- —.__.___ -- Project# _Use:__--------____----_------_--__—____-_
Dept: Date: Condition: Init: 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
•
_ U L I D
•
•
•
Other
•
•
•
•
•
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 CIO issuance:
Owner/contractor called regarding the return of plans: Date: .
Received by:____-- ____._-___ _______
No response from owner/contractor-plans destroyed: —__ _____