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1991, 02-15 Permit: 90006612 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)456-3675 /vom,vmut/xu,eoxummeummpmm/v^ovnounon.omtomauhe.nm,mauvnoonmmoum/tunuoubmumouvmoonnvagentmvompnoyampermit/application/at,uo and correct, and authorize Sokane 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 NUMBER= 900066i2 DATF~ I%%UED PE�mIT *** ************************ PERMIT INFORMATION ****************** ********' %ITE %TREET= i 1 2� i E 2i %T AVE PARCEL�= 28542-26i � DDRE%%= ~cGKANE WA c' ^ - ERMIT USE= SEWER CONNECTION - NORTH KOKOMO *** '%EE NOTE PL 001393 PLAT NAME- KOKOMG TOWNS, BLOCK== i0 LOT= ZON�= A�J:� AREA= 00000000 F/A= F WIDTH= DE�-' = 4 OF BLDG%= i 0 DWELLINGS= OWNER= OL%ON' JOE PHONE= %TREET= 11211 E 21 %T AVE ADDRESS= SPOKANE WA 99206 � �� ���� CONTACT NAME= JR Ti PHONE NUMBER= 509 9?4 6O77 • BUILDINU FRONT= NA LEFT= NA RIGHT= NA REAR= NA ***************************** sEwER PERMIT ****************************** II CONSTRUCTION PHONE 5O4 6O77 CONTRACTOR= J�R. = 9 92 STREET= 10504 E VALLEYWAY AVE ADDRESS= SPOKANE WA 99206 ITEM DE%CRIPTI0q QUANTITY FEE !)WT ------------------------- -------- ---------- PROCE% IN7, FEE Y iO .00 %EWER 40 .00 ******************************* PAyMENT %;MMARy **************************** PAYMENT DATE PECETPT4 PAYMENT AMOUNT 02/1 /9i 689 50 .00 ------------ TOTAL DUE= . 00 TOTAL PAID= - 50 .00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWTNc -�------------- ------------- ------------SEWER PERMIT pEpMIT 50`00 50 . 00 . O� ------------- ------------50 ;.00 50 ,00 5O .00 . 00 PRGCE%%ED � ' ]ULIE %HATT PRINTED JULIE %HATTO SEWER STUB AS-BUILT INFORMATION I% AVAILABLE AT THF COUNTY UTILITIEDEPARTMENT (456-3604- CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED-CABLES., ' GA% PIPING' WATER LINES, ECT , CALL BEFORE YOU DIG (45"-80OO) SEWER STUBS ARE T9 BE CHECKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE CLEAR uDUNOBSTRUCTED TO THE %FWFR MAIN ********* CALL FOR I SPF[ N PRIOR TF:1 nOVFR ********* 24 HOUR NOTICE REQUIRED ********** ********* 456-3604 ********** ******************************** THANK YoU ********************************* ` . SPECIAL CONDITION CHECKLIST Project Address: _--_ __- _Project - Use: _________--- Dept: Date: Condition: mit: . Appr: (in) (out) | ! | - -- --� ------- -| -- -- ------� ----------- ---� -- | -- )Dept.of uxBNUn � | Special Insp.Final Report ----------- | -_-_- _! _-| Hydrant( ) ( Lock Box �� — — — / | -------- --' --�i -- ---� - - --- --- --- --- | ------- { ------- -- - - - / -| - - -------� -- -- - � ---- � ----- ---------- -- — ! '---� | �------- ---''-- - - --| ------- - -- ---- - ---- | ----- � ------- - - ------ --� - -- - --- -- -- ----- | -'--'--- ! _________ Engineer's--__' ___- | RID/CRP Easements Road Plans/Improvements Bonds_ -_ _______ -- -- i - -- -- - -----'-- -- / ' | ----- ------- -/ | --| ---- --- --- -- ' - ' ---' — _ | / ' ---- i - --| - - -- - -- -- --- Pmnning - Bnnus - --! —} - - ---------- - -- -- - ---- ! / ------ | --} ---- ------ - --- -- ------- ' -- -- | / - | --| - � / ------ --| -- ! --| -------- ---- --------- --' | ------- � - - - - ! | -- -- � --- -- | ---- | | --| ------ -----' ---Utilities Double! / _-/ ooubwPlvmbing . ' UuD_- -| --' -- -- -- -- -- ' -\ --| � -- ------ _-{ ! --| -- -- - - -- ! / Other_ - { -- ' - - ---- i - -- | - - ----- -----' ----- | -- - -- ! -- , | - -{ -- ------ -- ' ------- / ------- / ' | / -- - - -- - -- � ! -- ! -- -- - ------- `^TmSspAosroRComMsnC|ALpLAmsTnAcx/ws.osnT/p/cArsoFoocupAmo,omLv~``^`~~^~^~~'^^^~'^ _ 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 0/0 issuance: Owner/contractor called regarding the return of plans: __ _-__ _- Date: Plans returned: _ Received by: __ ________ No response from ownor/contractor plans destroyed:____-