1991, 08-06 Permit: 91002136 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vomfymvt/huvooxvmmoum/upomnmunvoommn.ymmmmmomm,muooncontumoumnunuov»mntou»vmoonnvagenn000mnnpuomp rmit/application is true
d correct, and authorize Spokane County to proceed withnmcossmn In additionI have reaand 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
PROJECT NUMBER= 91002136 ISSUED PERMIT DATE= 08/06/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i0705 E 20TH AVE PARCELO= 28542-4407
ADDRESS= SPOKANE WA 99206
PERMIT UE= ~EWER CONNECTION - NORTH KOKOMO
*** %EE NOTE ***
PLATO= 002393 PLAT NAME= %KYVIEW ACRES i %T ADD
BLOCK= 4 LOT= 7 ZONE= AG%UB DI%TO=
AREA= 000000O0 F/A= F WIDTH= DEPTH= R/W= 60
0 OF B,DG%= i 0 DWELLINGS= i WATER DIST =
OWNER= TURIN PHONE=
STREET= 107O5 E 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 85OO
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
08/06/9i 5378 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT I% 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, FCT ,
CALL BEFORE YOU DIG (456-8000)
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#__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
P#anrring _.-_ •
Bonds,
Utilities____ __ Double Plumbing—
--_�._ ULID
. ... .. ... ..... ..... .. ... .. .
Other • ,•
•
.-*"*'******"**"*****"*`**THISSPACEFORCOMMERCIALPLANS k AO tN:G,CERTWICATEOFOCt✓UPANCYONLY'*'**********************"'**
Date received for C/O processing: ' Plans:pu#led'for final
Temporary C,JO issued _-. — Certeficate.of Occupancy issued:
Office file review by: �:_". --- ------- --------. Date: - — --------
Filectlnsp.finaledby: w .,. _.Date:. :.
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _.__ __________ . Date:.
Plans returned: .__- . . _________ _-----___ Received by: --_--
No response from ownerlcontractor-plans destroyed:________