1991, 01-24 Permit: 90006326 Sewer SPOKANE COUNTY DEPARTMENT OF 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 ' - l ;: 90006 :26 DATE= 01 /24/91 % tzl .
0'
ISSUED PERMIT
"kj ii it i aj•i Y"it t •j•i ii'j n 1 u 191 u ••'•' •, , ? 1 r:71--# "'i :¢*it•ilEinr:1?'?t't>t•ii•**it•iur*It•*'R• t••}i-***9:'*9'•*N::k
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SITE
STREET.
, AVE , .x.-:: 28542-4411
` t. # �: :. ? I":;::.i::. 7 -:: ? 1"J: 't �� i:. 20TH i::. .''�?{'t:#..:s::.i...
ADDRESS= SPOKANE WA 99206
PERMIT:..i +..0 :.'E'= SEWER CONNECTION .... NORTH KOKOMO
jj..ij.') ::r E:.t::. NOTE li..p J;.
PLATO= 002393 t' .... ! NAME= SKYVIEW ACRES 1ST ?...
BLOCK= 4 LOT= ` ZONE- � l ' i _
DISTO=
AREA= L:?(;i i.i i,i 4:I i i?:J L:J r WIDTH= DEPTH= R/!,,!= 60
0 OF BLDGBLDGS= 1 °' DWELLINGS=
OWNER= I'4i.(`EAl...D w ; PETER 7::.ii !"!i..l#„iNI:=
STREET= 10813 E 20TH AVE
ADDRESS= POKANE WA 99206
CONTACT N: "LzDONNA f " ft � . ?iPHONE NU ;; .
9 924 54e5
BUILDING SETBACKS : FRONT= #,;;.:t LEFT=.... ryr'7 RIGHT= NA !•;!::.r.:?!•:::::: i~+f-?
:............... .:. .,._,. .
•. i i 41 : :i'j'�ii 11 ! 1 11 1! 11 FI 1 t 1 1 !
********* *******:k*******;,...J?.:u;9?••},: :.:t::.it.7�::.1't: !"i::.i'.,1. i_ J:9:7t• 7:'A:'N:•N:�Pr 1!''F:9:•!t i i i:•{:•t:••ik�:J•:'1:•J:•:'J:'J�:'N:4?••J:'Jk
CONTRACTOR= COURCHAINF CONSTRUCTION PHONE= 509 924 5485
STI.':.E::T•= 16402 t::. VALLEYWAY
ADDRESS= 4ERAi.}ALt::. WA 99037
ITEM E:.t'i ::)E:;;c::E?T:I•'T-:I:c:IN QUANTITY FEE t'}t%i(i!iN T
----------
PROCESSING ..E..::
SEWER CONNECTION 40, 00
*:g:***************************** p fn1`f m I':,t`:1 ! g!„i m m r•:;!•;;'Y *********************N******
PAYMENT DATE RECEIPT:: PAYMENT AMOUNT
01 /24/91 ...34 50,00
TOTAL i!i..i7:.:::: ,•??0 TOTAL PAID- 50:.40:9
PE:.RM.I. ! TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT !. ;^..1:14:
50,00
50.00 50 .00 .00
PROCESSED BY : :i!.i{._.I.1... SHATTO
PRINTED BY :' JULIE . 'HA ( t
r•::-,?•:.?•' `. t.;,.,
• - lIi I :E `
r #` ! . , IS AVAILABLE AT" THE COUNTY
UTILITIES w " - t' bEvT4456 -360: 1
CONTRACTOR }..71•,, APPLICANT IS TO FIELD LOCATE
L: JA i. ANDD CONFIRM
_ NiIRM
liE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE ti ;I' CABLES, x i S PIPING, W I ! F
I..... :.: , '. ... ;
DIG tCALL �?E:.t- t.74';t.:. i '.O:_� 7.J E.ta i, ,.5..? " ..'411•:iQ? i
SEWER STUBS -p} . s BE CHECKED
PR:1:(..I#: TO CONNECTION ! I.� INSURE
THAT T•I"THEY ARE 'CLEAR h:A AND UNOBSTRUCTED I THE .SI:.WI=R MAIN
FCP ?`N 1'T 7.ON PRIOR TO COVER *R Jk 0
* ,p ir ?f9t 3rd HOUR
E1ENtw• E _ REQUIRED .tl:: F ) t*i *J
tir..•'....' 04 •if•}i•**'k•**•p:.* .
i999 :9n9 ?Pf99 } ) ) «7J1J ! J : ** j: JTHANK\ , y 'n3 $ Jji } G i { i 9jJ ) jnr } Vif)*) i ?*R*9 *.K*n
SPECIAL CONDITION CHECKLIST
Project
Address: -__ __ _— Project# _ — Use: v_
Dept: Date: Condition: Int Appr:
(in) (out)
Dept.of Bldgs.
w 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 0/0 issuance:
Owner/contractor called regarding the return of plans: Date:Plans returned: ,._ _____ —_ Received by:_ __
No response from owner/contractor-plans destroyed: _ --- ---