1991, 02-21 Permit: 91000470 Sewer mmamm,
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 authorizeo kCounty to proceed withnmoommu In additionI have reaand 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= 91000470 ' ISSUED PERMIT DATE= 02/2� /91 PAGE= � . ^
**************************** PERMIT INFORMATION
SITE STREET= 11123 E 20TH AVE - = 28542-23ii
ADDRESS= SPOKANE WA 992O6
PERMCONNECTION � NORTH KOKOMO
*** %EE NOTE
, PLATO= OOi393 PLAT NAME= KOKOMO TQWN%ITE`
-L C.� GT ZONE A�%UB DI%I� F
� B = 7
� "
' ��'- -- -- - �E��
- � �o= OOO�000O F/A= F WIDTH= ` p R/W=
4' OF %= | 4 DWELLINGS=
! '
uwNEk=
PHnNF=
STREET= 112.3E 20TH AVE
`ADDRESS= WA 99206
6 �,�
CONTACT NAME= DONNA COURCHAINE PH:7:
>� 709V�BFR= O9 9?4 �4'
BUILB�N6 %ETBACK% � FR�NT= NA LFFT= NA RI�HT= N� REAR= NA
******* %EWFll PERMIT ***�***********
CONTRACTOR=
NTR T = C R HAINE CONSTRUCTION - - �RGi,„;E= 509 c,24 5485
RE = i 64O2
VERADAL — --
( — — •
/ ITEM DESCRIPTION /Q ]ANTI �
------------------------- --------
PROCESSING
,,::EWER -CONNECTION '
' - -
******************************* PAYMENT %UwwARY
PAYMENT DATE RECEIPT4PAYMENT AMOUNT �
' -
�
O2/2� ��i s(-):7) 5O.�O - ' -
------------
. 00 TOTAL PA- 50 .00
AMOUNT P� ^ • - - `
-------------- -------------SEWER PERMIT PERMIT 50 .00 .
- ----- ------- ------- -------- ' -
•
50 . 00 50 ^ 0�
P�OCE%%ED 9YJULIE %HATTO
PRINTED BY JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT 'THE COUNTY
UTILITIES DEpARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWEk STUB PRIOR TO AN; OTHTR
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPING , WATER LINES: ECT .
1 ~�
CALL-BEFORE»YOU DIQ`� &45"-8O0O) /
%EWER
.7,!TUBE ARE TO BE CHECKED PRIOR TO CONNECTIONTO IN%nRF
THAT THEY ARE - ANS -UNOBSTRUCTED TO THE SFWER' �AIN
********* ARE;-: CLEAR'
FoR.. INEurT,IGN PRIOR TO COvER **********
********* 24 HOUR -NOTICE REQOIRED **********
.... .. .. .......... .............. . . .. . ........***
********
*** ********************** ***** YOU *************************
SPECIAL CONDITION CHECKLIST
Project
Address: —___ —__-- —_Project#-------------------------____-_Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
______________________ ____ _ __ _ —_ Special Insp.Final Report__.___.___s________.________ -
_______________ --_-- Hydrant( ) _____-___-__._—_-----_--._ ___ __.___.____—_____.__----
Lock Box
Engineer's_—_._ __ . ___v___ RID/CRP _________
— — Easements —T.--------- — — 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 C/O issuance:
Owner/contractor called regarding the return of plans: ____ Date _________
Plans returned: --______ _ --.Received by:_— _______ _____—_
No response from owner/contractor--plans destroyed: —___