1990, 11-16 Permit: 90005568 Sewer SPOKANE COUNTY DEPARTMENTOF 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 processing. 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90005568 PAGE= Oi
**************************** PERMIT INFOPMATION ****************************
SITE STREET= 10805 E 70TH AVE PARCEL4= 28542-4410
ADDRESS= SPOKANE WA 9"~06
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 002393 PLAT NAME= %KYV�7WACRES i %T ADD
BLOCK= 4 LOT= iO ZONE= AG%UB DI%TO=
AREA= 00000000 F./A= F WIDTH= DEPTH= R/W= 60
4 OF BLDG%= i 4 DWELLINGS= i
OWNER= MORALES, ED PHONE=
STREET= 10805 E 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTAC'`� �,�ii� �ERRY COURCHAINE - TLC PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION ~HONE= 509 927 6760
STREET= i3816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------ '-- -------- ---------- /
--------- �
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.0O
*
******************************* pAYMENT SUMMARY ******* ********************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
� i /i6/9O 7344 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 5O .00 .08
PROCE%%ED BY : JULIE SHAT TO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS 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 PIPINGWATF� LINES, ECT ,
CALL BEFORE YOU DIG (4�1-8O0O) ' ^
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
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# 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.
—`-""""""" ""---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 CIO issuance:
Owner/contractor called regarding the return of plans: __ ______ Date:
Plans returned: -----__—_._.----_-____ ------____._._-- Received by: _____-- _
Nn response from owner/contractor-plans destroyed: ,__�_—_ - -