1990, 12-07 Permit: 90005813 Sewer - y
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 —_
ISEUED PERMIT
• ! ! f !
.,.,?..:-. : :,:.?-.?..A.}!.:.r-.,. r.. :-.r-.,.r,..r•.:c-: „::,:..?. ?. 3 : " ' iINFORMATION , ? ..jt fi3i.} }
393 ? j . r :} . . . .. .. .
PERMIT UEE= SEWER CONNECTION — .. ....
**r' STE NOTE y:..}t:*.
PLATO= 001'39'3 PLAT NAME= KOKOMO TOWW.ME
AREA=i..:: !:?t•1F.•t"k .",':.!.•:}.. :.. ::.�, _.. 1,',i�i.-%. f•i:::: 1 0 0 .
D 0 DWELLINGE=
OW
NE F.:= DUGG . . .+..!
ADDRESE= '.-.POKANE WA 99206RIGHT=BUILDING EETBACKE : FRONT= NA LEFT= NA
NA • :t
-_. ...... - .. "j•"? $!i:P;:?}..}}}.,, t.:tF !r?!r'!•r !i i'!:•i!i"1!i'it''i!i
77REET= 6921 E 11TH ,;,x'i'
ADDRESE= EPOKANE WA 99212
ITEM DESCRIPTION OUANTITY EFE AMOUNT
:::;EWER CONNECTION
.. ...:E{..!!::ij..}}.s},.,;k:i}.:(..P:'P:-P:'P:'?i 9k;}:•?;'9k•P:9!::}i..;,:dk-'i+: :.
E: D RECEIRT4 PAYMENT AMOUNT
12/07/90 Y60 50,00
P:7:MIT TYPE -FEE AMOUNT - PAID AMOUNT OWINI:
EEWER PERMIT 50,00 50,
JULIE SHATTO
EEWER AE—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
CONTRACTOR OR APPLICANT IS TC FIELD LOCATE AND
..:.X.Cis% A_: ... .... .
CAL..L. BEFORE, . i. U :1:`.i.... (456-8000 )
THAT THEY ARE CLEAR AND
TRUCTFD TO
y}..;!:•P:•P:.P.;,,r•..!}:;e CALL, FOR �>! f; f��:• ± t f � .t?THE
,,' �IP:'?r'P:.t"z!:,. :'n•?!:
+ ,j i
:.r.st. :+,:...j.f.. .! .: ....::.:.... :. .:.ii. :!t')k;!::}}!::,5..?,"P:"?t'P:i!:
THANK
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 TRACKING,CERTIFICATE OFOCCUPANCY ONLY'•""'•'••'••'"•****
Date received for C/O processing: _ . Plans pulled for final processing:
Temporary 0/0 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: — — —