1991, 08-06 Permit: 91004324 Sewer SPOKANE COUNTY DEPARTMENTOF 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 correctand amv,/ oapoxunoCounty 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= 91804324 ISSUED PERMIT DATE= 08/06/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= iii87 E 17TH AVE • PARCELO= 28542-i8i9
ADDRESS= SPOKANE WA 99206
PERMIT USE= ~EWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= LOT= ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= ZINECKER DAVID G PHONE=
/
STREET= iii07 E i7TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TOM STONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
STREET= PO BOX 14154
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
O8/O6/9i 5366 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
------------- ------------
50,00 50.00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
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 -- y_--
__ Hydrant( )
-----.—_-__ __ Lock Box
•
Engineer's -_.----- RID/CRP
--- Easements__-- •
Road Plans/Improvements
— — Bonds •
•
Planning___ _�_-- — ,.Bands .
•
Utilities_------ Double Plumbing
ULID — —
•
Other —
•
•
"`*********",'"THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFtCATEOFOCCUPANCY ONLY* ****"****"*********""******
Date received for C/O processing- — • Plans pulled for final processing:
Temporary 0/0 issued _ - ^.Certificate bf Occupancyissued.
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 owner/contractor-plans destroyed: