1990, 11-06 Permit: 90005454 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 Sx County to roceed with processing. In addition, I 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
�| �
�
•• . DATE= 11 /06/90 PAOi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= i1012 E 17TH AVE PARCEL4= 28542-4002
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - KOKOMO
*** SEE NOTE ***
PLAT4= 001857 PLAT NAME= OPPORTUNITY SUBURBS
BLOCK= 2 LOT= 2 ZONE= UNCL
AREA= OOOOOOOO ESA= F WTTH= pn DEPTH= i4O R/W=
4 OF BLDG%= 4 DWELLING%=
OWNER= ROCK%TROM PAT PHONE= 509 926 647
%TREET= 11012 E -7TH A;E
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 54A5,
STREET= E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10, 00
%EWER CONNECTION i 40 . 00
************ ****************** PAYMENT %UMMARY ***************** **** ****
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
i1 /06/90 7031 50.00
TOTAL DUE=DUE= .00 TOTAL PAID, 50. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.00 50.00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIFr DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUD PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, FCT ,
CALL BEFORE YOU DIG ( 45"-8OOO)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO 'INSURE
THAT THEY ^.[ CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PFCTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
********** ***************** *** THANK YOU ***************************** **
SPECIAL CONDITION CHECKLIST
Project
Address: ---_-------_------------_ ._ —_--Project#--------------__._._-____-- Use:_.
Dept: Date: Condition: Init: 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,CERTIFICATEOF OCCUPANCY ONLY*•'' """`"
Date received for C/O'processing:9 ---- --- __. � Plans pulled for final processing:
Temporary C/0 issued:—_ _____ ���. — Certificate of Occupancy issued:
Office file review by: _._u.--_. Date:
Filed insp tinaled by: ---. Date:_..--------
•
Ninety days after C/0 issuance:
Owner/contractor called regarding the return of plans:—_ Date:
Plans returned: -----_.__._____ Received by:
No response from owner/contractor-plans destroyed: