1991, 07-18 Permit: 91004309 Sewer AD( ~mommiummw '- - ~ viiiimiimornommimmismurt
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
/ �POKANG.WASHINGTON 892G0
(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 authorize SkCounty to proceed with processing. 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/apon and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give m n 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 / /d AppuCAT0m����^__-'_
_ _
\
� PROJECT NUMBER= 91004309 I%%UED PERMIT DATE= 07/18/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1i406 E 19TH AVE PARCELO= 28542-2403
ADDRESS= SPOKANE WA 99206
!
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= O0i393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 8 LGT= 4 ZONE= SED DI%T4= F
AREA= F/A= F WIDTH= 90 DEPTH= 150 R/W= 60
4 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= BUCHANAN MIKE PHONE=
STREET= 11406 E � 9TAVEE
ADDRESS= SPOKANE WA 99206
�
i CONTACT NAME= MIKE BUCHANAN PHONE NUMBER=
� BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWE R PERMIT ************************** ***
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40 .80
**** **** ****** ************** PAYMENT %UMMARY ************** ****** ******
I / PAYMENT DATE RECEIPT:4:: PAYMENT AMOUNT
07/18/9i 4823 5O .00
1 | ------------
TOTAL 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 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
!SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
i 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 (456-9000)
! %EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
I , THAT THEY ARE CLEAR AND UNOBSTRUCTED Ti THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
4i ******************************** THANK YOU *********************************
|
1 ` `
SPECIAL CONDITION CHECKLIST
Project
Project# Use: _______
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept. of Bldgs.
--- -- .-----_-__-- Special Insp. Final Report___.__
Hydrant ( ) — —
- ----- ___ -- — Lock Box.
RID/CRP �__--
____ - — — -- Easements.. -- —
--- Road Plans/Improvements — --- --^__—.. --
Bonds ._ ____-__
Planning Bonds
•
•
Utilities .__._—_ Double Plumbing
U L I D
Other..
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 b
No response from owner/contractor-plans destroyed