1991, 08-05 Permit: 91002535 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 riT.JM ER= 91002535 ISEUED PERMIT DATE::-- 08/05/91 PAGE= 01
•**•k**it)iii*iiiiii* )r *ii**k***hiia• PERMIT ItNF0R:MAT:EoN *• • ''*ilii•* i*
SITE STEEE-T•== iii 08 E 0TH(]AVE. PARCEL. =:: 28542-2605
ADDRESS=:: SPOKANE. WA 99206
206
PERMIT U E= SEWER CONNECTION — NORTH KOKOMO
** SE. :. NOTE ***
PLAT4= 001393 PLAT NAME== KOKOMO TOWNSITE
BLOCK= 10 LOT= ZONE= A(YSUB D.T.S r:p==
AREA= 00000000 E /A= F WIDTH= DEPTH=TH:=: E1.,-Li=::
M OF T�LDGE=: i 4DWI 1...L..INGS:::: i WATER MST =::
OWNER= C::RABTREE PHONE=
STREET= 11 i O .i F: 20TH AVE
ADDRESS== SPOKANE: WA 99206
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NAtRIGHT== NA REAR:::: NA
i�li•*•&tt ii it•k*** ii k a ri**••ii r****•ii ii•ii•• •H ii SEWER PERMIT y�1 I. t • 3l•*•H•*)l*•**•M•*••/l'A'P•**•!t 3 'P:P:' •H:*'h:•P:•b:P P:•A:){•
CONTRACTOR= H fr S CONSTRUCTION PHONE= 509 ''.;?.=z 8964
STREET=1..E::E::T== i181r E:: VAL_L..E::YWA i` AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------
PROCESSING FEE i I0:.00
SEWER CONNECTION i .40..00
h*yi*gip:******;i :;'x*aix3aih•***•a* •*k*• PAYMENT SUMMARY ••**ii•ii*ii•*•u••k.**•k**•k ..k..h**•k•ii•ii•ii#ii*
PAYMENT DATE RECEIPT PAYMENT AMOUNT.
08/05/91 5295 50.00
TOTAL. I)UE:=: .00 TOTAL PAID== 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAII) AMOUNT OWING
SEWER PERMIT 50_00 50<00 .,00
50 :00 50.00 .E.)0
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS—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 PIPING, WATER L.INES, ECT
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
* tt** ** CALL FOR INSPECTION PRIOR TO COVER ********* •
•ii•iia?•iiiiii9i•ii•ii• 24 HOUR NOTICE REQUIRED 1i***it9t•N•!iii•R
ik•K••}i•ii ii 9i ii'h:•k 456-3604 1±••it•7Y A: 74••A•ii .•P:
ii*H*ar ii ii****)+•u•3r•H•it•ii r.•ii•*it•at at*3r**ar•ir*3t•* THANK 7 ._U *ai*ar it*it a•af•*n•*nr ih ri•n••m• *a**,r*yr x•vt i!•n*•:•n:
SPECIAL CONDITION CHECKLIST
Project
Address: ___ _.___ Project#_ Use* _
Dept: Date: Condition: lnit; Appr:
(in) (out)
_
Dept.of Bldgs. — --
-___.—_ —_______— Special Insp.Final Report_ --_-__--
---- -- - -- — Hydrant( )
Lock Box
Engineer's ___— RID/CRP., _
Easements'
— — Road Plans/Improvements_ _---____
Bohd�
Planning,: Blinds:
Utilities_____ Double Plumbing_ ; - :s-:
__ ULID --
Other.
:
"**" **" ":****,*********THIS SPACE FOR COMMERCIAL PLANSTRAGKINWGERTIFLOATEL7F:OGGliF,ANCI'ONL?y°******&,""******••,"`****
Date received for 010 Pr®eess'sng, • ; + PI&n3 puifed.for ti;raCproceseing — --- —_ ---
Temporary 0/0 issuers
,- r; •Cer#r#�Cafof OGdAahoy issued __--
Office file review b : . Date.
•sled,t9s..P J na00:19: , 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:__.______-_______ --___._--