1991, 05-22 Permit: 91002808 Sewer r. v �_ - - _ - - - - � �
� _ - - � - ,
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 withom^ommn In additionhave 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 pro ' ions 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
. /..., 01P
SIGNATURE OF APPLICATION ,°'V .01.2 , / 99/
PROJECT NUMBER= 91002808 ISSUED PERMIT DATE= 05/22/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10821 E 20TH AVE PARCELO= 28542-4412
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLAT4= 002393 PLAT NAME= SKYVIEW ACRES 1ST ADD '
BLOCK= 4LOT= 12 ZONE= AG%UB DI%T4= F
ARE = OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 60
4 OF BLDGE= i � DWELLINU = i WATER DIST =
OWNER= M AE L J PHONE= 509 926 6688
STREET= 10821 � 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= L J MC RAE PHONE NUMBER= 509 926 6688
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
�
---�-------------------- _ .
PROCESSING ...-TE Y 10.00 | _
SEWER CONNE :TION i 4O.O0 __
******************************* PAYMENT SUMMARY **************** ' ***********
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
�
05/22/91 3141 50.00 _ __
------------
TOTAL DUE= . 00 TOTAL PAID= 50.00
Y-- - -
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING '� |
--------------- ------------- ------------ ------------- .
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACT 0 R 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 PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBSARE B H 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#_ Use;
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
__________ — Hydrant( )
________________ — Lock Box
Engineers-- —. — — 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: