1991, 01-24 Permit: 90006278 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675 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= 90006278 DATE= 0i /24/91 PAGE= 01l%%UED PERMIT
*********************xx»**** PERMIT INFORMATION ****************************
PA�CEL�= 28542-2SO2
SITE
ASTREET= i08i2NE 20THE WA AVE
206
PERMIT U%E= SEWER CONNECTION - NORTH KOKOMO
*** .USE
NOTE ***
PLATO= 001 393 PLAT NAME= KOKOMOTOWN%ITED %T�= _ F
c
BLOCK= i2 UT= ZONE= ""^~B DEPTH= R/W=
AREA= 00000000 /A= F WIDTH= E
4 OF BLD %= i * DWELLINGS= i
OWNER= PEPLIN%KI PHONE=
STREET= 10812 E 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNACOURCHAINEPHONE NUMBER= 509 924 5485
On / EFT= NA RI�HT= NA REAR= NA
BUILDIN� %ETBACK% : I-1-:! = no � *****************************
***************************** SEWER PERMIT *
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
__________
-------------------- OO
-----
PROCESSING FEE Y 10 ^j 4O.00
FEWER CON NECTTnw
************************
******************************* PAYMENT SUMMARY ****
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /24/91 333 50.00
_ _------_
TOTAL DUE= ^OO TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUuTPAID AMOUNT OWING
---------- --�OO 5OO
---------- --- OO ^O
----- 5O ^
SEWER PERMIT ^ -_--- ��___
-- -
---------- - • O
5� OO ^
O
50,00 ^
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
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 A
PRIOR � u r . `' . ..^R
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING ' WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS TO BE
PRIOR TO CONNECTION TO INSURE%URE
THAT THEY ARE CUNOBSTRUCTED ' O I
********* CALL FOR INSPECTION rwI�nT" COVER **********
********* 2` . O" ` .~ . --- REQUIRED **********
********* 456-3604 *******"**
********************** ******** THANK YOU *********************************
_ -__ '_~~ -_-~__^
SPECIAL CONDITION CHECKLIST
Project
Address:. -- Project#-_ Use:
Dept: Date: Condition:
� | ! mu: Appc
(in) ! (out)
-------- | --' � i
Dept of Bldgs
'
__ -- / Spooia| |nop.Final Report
Hydrant( ) - ----
- | !
Lock Box
------'---
----- --- - - -! -- � _
-
---- --/ !
Engineer's | � RID/CRP
-- -- - ---- i Easements
-- --- | - '
Road Plans/Improvements
� —
Bonds
--- ------ -- ---/ --|
-| --| -- -- --
------' ---/ ----| --/ -- -- | ___
------ -----
_
! /
Planning | 8onuo ' -- --
_-_-| -_
--- - -- --- -) --| � |
--------� | - ' -- --- � | -
-- -- -- / | ---
- ----- - --/ / .
-- ------ --' - ! -- | _
--- -- -----/ -- i
--- --------| ' --| | --- !
---- ------/ -- | --' -- __ __ i
Utilities | /
Dov�emumbing
ULID ! |
-- / -- --
| i
--| -- |
-- --- - - ---/ --| -- | !
Other_-
/ |
- -- --/ -- - ! - |
- --( | - --
-------' - -- ! - _ i _
---- � -- |
----- | --� --i -- ! | /
. �
_���������
^`^^ ^~~''~^~'~`~^~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY'~~~`'^^````^^^'~~'``'
Date received for 0/0 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 0/0 issuance:
Owner/contractor called regarding the return of plans: - _ Date: -
Plans returned: ___ __' Received by:
No response from owner/contractor plans destroyed: ___ -