1991, 11-27 Permit: 91006548 Sewer ^ _
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vom/vmut/oavooxummoumwpmm/uonnnvouun.ommmutmomm,mut/onoontumoumuonouuum/«eubvmoonnvagentmoomnnooaiun rmit/application is true
and correct, and authorize Sokane Conty to proceed with processing. In addition, I have o 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
- r -
- - - - ` ' -
PROJECT NUMBER= 91006548 ISSUED PERMIT DATE= ii/27/91 PAF,F= 8i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11411 E 19TH AVE PARCELO= 28542-2iii
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOHO TOWN%ITE
BLOCK= = ZONE= UR-3.5 DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 70
0 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= PLATNICK PHONE=
STREET= 11411 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON ,::.LOAN PHONE NUMBER= 509 922 8700
BUILDING SETBACKS .: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 5O8
STREET= PO BOX 14i562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEF AMOUNT
------------------------- -------- ----------
PROCE%EING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /27/9i 9068 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
5(.) .:00 ^00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-e000)
SEWER STUBS ARE TO BE CHECKED O . TO UNNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIORTO COVER **********
;A.** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ************************* *** ***
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 —
ULID
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 by:
No response from owner/contractor-plans destroyed:_____._.—__ —__--