1990, 11-07 Permit: 90005445 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 permit/applicationis true
and correct, and authorize Spokane County to mm 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= 90005445 DATE= ii /07/90 PAGE= 01
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11406 E i7TH AVE PARCEL4= 28542-2010
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - KOKOMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
CLCC�= 4 LOT= ZONE= AG%UB DI%TO=
F/A= F �-~- ' DEPTH= R/W= 70
�
� --
4 OF BLDG%= � DWELLINGS=
OWNER= HATCHER, DON PHONE= 509 928 2763
STREET= 11406 E 17TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT AME= JODI - A \ V PHONE NUMBER= 509 924 6182
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= A & V CONSTRUCTION PHONE= 509 924 6182
STREET= 1425 N UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
11 /07/90 7058 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 5O.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 I% 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 PRIORTO CONNECTION TO INSURE
THAT THEY ARE C FR 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: Init: Appr:
(in) (out)
Dept.of Bldgs. _---
___.______ .____._—_--_— _ Special Insp. Final Report_
____________ -- _ _____ — Hydrant( )
__________ ---._ Lock Box _ —_—_. -- _.-- _______ _
Engineer's-_._.__-- --.__.____-- RID/CRP ----_�____--__u._-- - •_________________ ________
Easements
Road Plans/Improvements — --_.—_
__.._._---___-- — Bonds
•
•
Planning. . _ Bonds.- — — -- —_-- —�_
•
Utilities__ Double Plumbing
ULID
•
Other
""""""""""""THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY"""" '" """ '"
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 map finaled by._------ _—___.__ ____. Date:. -- __________
Ninety days after GIO issuance:
Owner/contractor called regarding the return of plans: ____—_. ______ Date:
Plans returned: --_-_-_______ _ Received by: ___
No response from owner/contractor-plans destroyed:_______________ ________