1990, 11-06 Permit: 90005615 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 Sxa County to m0000 with processing. In addition, I have u and understandtme/wapsormwneoumsmswTSvwor/os
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 ORAGENT DATE
PROJECT NUMBER= 90005615 DATE= ii /06/90 PAGE= Oi
I%%UED PERMIT
*** *********** *********** PERMIT INFORMATION **************** ***********
SITE STREET= 108ii E 21 %T AVE PARCEL4= 28542-2811
ADDRE%%= %POKANE WA 99206
PERMIT USE= %EWER CONNECTION — NORTH KOKOMO
*** EEE NOTE ***
PLAT4= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 12 LOT= ZONE= AG%UB DIST4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/Ld=
4 OF BLDG%= 1 0 DWELLINGS=
OWNER= BATES, FRANCIE PHONE=
%TREET= 1081i E 21 %T AVE
ADRE%%= SPOKANE WA 99206
CONTACT NAME= %TAN — ENVIROGUARD PHONE NUMBER= 509 5595
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 924 5595
STREET= 6921 E i1TH AVE
ADDRE%%= %POKANE WA 99212
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10, 00
SEWER CONNECTION i 40 .00
******************************* PAYMENT SUMMARY ******************�*********
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
ii /06/90 7027 56 .00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
EEWER PERMIT 50.00 50.00 . 00
------------- ------------ -------------
50 .00 50.00 . 00
PROCE%%ED BY : Ji; lE %HATTO
PRINTED BY : JULIE %HATTO
%EWER %TUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING , WATF7 ! 7NE%, ECT ,
CALL BEFORE YOU DIG (456-8000)
%EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE -SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TG CGVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK yOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project# __Use:_____
Dept: Date: Condition: !nit: Appr:
(in) (oui)
Dept_of Bldgs.
Special Insp.Final Report
—__-- — Hydrant( )
— _—._ __-- --- Lock Box _-- --- w
•
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 C/O issuance:
Owner/contractor called regarding the return of plans: — --------_-------____-_. Date;
Plans returned- ___._. Received by: - --------_-_._-
No response from owner/contractor-plans destroyed: