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1991, 08-01 Permit: 91004025 Sewer SPOKANE COLNTY 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 additionI 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= 91004025 ISSUED PERMIT DATE= 08/01 /91 PAGE= 01 **************************** PERMIT INFORMATION **************************** SITE STREET= ii2i6 E 21 %T AVE PARCELO= 28542-3114 ADDRESS= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION - NORTH KOKOMO *** SEE NOTE *** PLAT4= 004393 PLAT NAME= KOKOMO TOWNSITE BLOCK= 15 LOT= ZONE= AGSUB DI%T#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 70 4 OF BLDGS= 1 4 DWELLINGS= i WATER DIST = OWNER= HARRIS, JOHN PHONE= STREET= 11216 E 21 %T AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= JIM NIEL%ON PHONE NUMBER= 509 924 6077 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA ***************************** SEWER PERMIT ****************************** CONTRACTOR= J.R. II CONSTRUCTION PHONE= 509 924 6077 STREET= 10504 E VALLEYWAY AVE ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION QUANTITY FEE AMOUNT ---- ---------------- -------- PROCESSING FEE FEE Y i8.00 SEWER CONNECTION i 40.00 ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPT4 PAYMENT AMOUNT 08/01 /91 5239 50.00 ------------ TOTAL DUE= .00 TOTAL PAID= 50.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- ------------- ------------ ------------- SEWER PERMIT 50.00 50.00 .00 ------------- ------------ ------------- 50.00 50.00 .00 PROCESSED BY : JULIE SHATTO PRINTED BY : JULIE SHATTO 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 ********** ********* 456-3604 ********** ******************************** 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 :.. it .(.4.4 4 .:.. t.. . . � I s ++,'• , _f.. {°4'. '.t:..t, .:•+' (Pi-4.ti. . O- .....,t.: :;,: ?h.. a, •(- ''.-]: Engineer's______--- -- --- RID/CRP --- Easements ` i•I l i„ „i'; ? . . , '.t'!i, ? t., i I I _----.--- ---__-- -- -- —__ __-- __._ Road Plans/Improvements . �;." 'PI' s 1:•t ::: d, „'fit+i i�i _�•'• � c�:. r` '.,._— r ''• 1.1 • 1 r t t ._ Planntncg Bonds _ • s: �:`: +, '+..Wit•..�. '. .":Viµ.9t': !' .. .. : 't, R."•-u• :'.i j•" c i y:' - .. .. i P k.. :u .. . . ,t .! $ i+Y . .. .. . .. . .. __ ; •.; r ; Utilities___ ---_- Double Plumbing ` ULID ^¢.:, .,,-?^ :. ., 'S. ; Fi: .. i ti .. A i ti j it A. 11 - Other •f f.. --- w i. . ..,, , j .. ••.-•• I • *“**•""•,`*.,******`******"*rHISSF3ACEk5ri66il/tNIERC1%aLPLA4.7: AC• Nd,; EI - 1GAfEbE,..o 4,VI�.ANav: 61V' ,•"**************• ***** Date received forCto procossing '' ,,�?9 ns puled fnr fhna4 pro eesinS --- Temporary 0/0 Issued • t bccuOhcy Office file review by Date Filed Insp finaied by ,Pate Ninety days after 0/0 issuance: Owner/contractor called regarding the return of pians: __-- Date: Plans returned: ------------------------ ___-- Received by: No response from owner/contractor-plans destroyed: