1991, 03-13 Permit: 91000575 Sewer +
SPOKANE COUNTYISEPARTMENTOF BUILDINGS
W.1303 BROADWAYAVENUE
SPOKANE,WASHhNGTON 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 correctand athorize SkCounty to proceed with processing. 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= 9i000575 ISSUED PERMIT DATE= 03/i3/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11211 E 20TH AVE PARCEL28542-23i3
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - NORTH KOKOHO
*** SEE NOTE ***
PLAT4= 001 393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 7 LOT= ZONE= AG%UB DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= MILLIKEN, ED PHONE=
STREET= ii2ii E 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
03/13/91 1202 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 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)
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 LINES, 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
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** 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_
Engineer's__.-_.__-- .__ RID/CRP .
— -- Easements _ — •Road Plans/Improvements•
— --- —__ _--
Bonds •
Planning✓._._ • BOnds-_-- _
•
Utilities --.-� •. Double Plumbing__
ULID
Other
•
•
THIS SPACE FOR COMMERCIAL PLANS 1RACKINO;CERTIFICATEOFOCCUPANCYONLY"'"'""***`*****`******""****
Date received for CIO processing. Plans'pulited for fihat processing.
Temporary C/O issued:_ --.______.___ .Certificafe.of Occupancy issued:___ • -------._____
Office file review by: _ — .------- .---_ Date:.___
Filed;insp finaled by: Date:_ _.>;_ ,>_-- Y.
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:--------_-__-- ��_-- _____-------------------__.___.___--_