1991, 05-28 Permit: 91001649 Sewer ,
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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and correctand authorize SkCounty to proceed with processing. In addition, I have reaand understandmo /wopccrmmnsuumsmswTmwor/ns
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= 9� OOi649
ISSUED PERMIT DATE= 05/28/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%I : 11 %TREET= 11303 E 17TH AVE PARCEL4= 28542-1721
ADDRE%%= SPO WA 99206
PERMIT U%E= SEWER CONNECTION - NORTH KGKOMO
*** EEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO T WN%TTE
•ql fir o �T= ZONE= A��UB DI%T4=
L � AGS
UB
00000000 F7o= F WIDTH= DEPTH= R/W= 70
4:: OF BLDWELWATER DI%T =
OWNER= TIFFANY PHONE=
%TREET= ij3O3 E i7TH AVE
ADDRESS= SPO WA 99206
CONTACT NAME= RON %LOAH PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE RHONE= 509 922 85OO
STREET= PO BOX 14i562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- '----------
PROCESSING FEE Y • 10,00
SEWER CONNECTION i 40. 00
******************************* PAYMENT SUMMARY ********* *****************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
05/28/91 3235 5O.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.80
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 5O.00 5O.8O .00
------------- ------------ -------------
5�.00 5O .00 .O�
PROCE%%ED BY � JULIE %HATTO
PRINTED BY . JULIE %�ATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CAB| F%, GAJ PIPING, WATER LINE%' FCT ,
CALr BEFORE YOU DIG 7456-8000\
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** 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_ —
THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY' —****—'""""""""'
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 C/O issuance:
Owner/contractor called regarding the return of plans: _ _ ._____ . Date:__ __
Plans returned: —___-_--._-- —_—_ Received by: —_— -_--No response from owner/contractor-plans destroyed:._ —_ _ _ _________