1991, 02-15 Permit: 90006553 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 Spokane County to proceed 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= 90006557 DATE= :.:-)2/ 5/91 PAGE= 01
ISSUED PERMIT
************* ***-k-.,,:**:.,:****** pERmiT r :;'1't';•?'!' 1.•i I;i ii..}i,.!}.!:.:,:.:?;..¢:ie:**;ii•ic•i?+.'•P•.•.j:•ir•:i.±...Jh ji.:J..ytir ie:94:i..,j..yj.:.,,*
ADDRES::= SPuKANE WA 99206
PERMIT USE= i i::,i• #`•: ' . '`=i NE_' t. #ra .... NORTH i;O t:_O,• k_.:
2?'T?' ?' SEE E NO (•E *)r X
PLATO= 001393 PLAT NAME= KOKOMO TOWNETTF
AREA= 00013000 F/A= F WIDTH= 100 DEPTH=
„ OF
i.::s 4 DWELLINGS=
CIIADDRESE= -;"i::=f•Ik(i#'J.i::. .Witt 9920._
CONTACT -NAME= STAN . :ii _ ,% - : t PHONE
NUMBER— + 1 i
RIGHT= REAR= •" %./
BUILDING SETBACKS : FRONT= NA LEFT= NA
... ..
.,? ?f +? A'*')c:??••A:s?•9k•P:9?:."•:')?';r,t..}?::?:?.,?.,: A.f?.A. A. A. -• ,f. :':E Sai;.. v PERmIT ;?!i'it•;i;yt;•}li:i:•!si')4••!?i*gf'P•A.*.:j.:fl.:t.::.:,j. (.*.}:.: :..%j.:{.:y..;{.:,j.:;•.
CONTRACTOR=N t';••�IAi TOR:• #::.#`':`!f S tt i#' .... .-. .. 2 .. ...
ii:!
ETREET= PO BOX 141557
ADDRESS= SPOKANE WA 99214
,
ITEM DESCRIPTION QUANTITY FEE
PROCESSING FEE 10,. 00
i.:O f' Nl_.i.., ..U f':.' 46 , C}0
...:........:. .... ,. ...... :.....:. .... ..:. .:.. :::•.::::i. r-.a ). ..........
...:.....................!?..z...,..,,..y..p....p.,,?..,f...?..,,..,..?..:.?...?..? .? ,.. ?: i.:i:i? ,i i ^!`'t::`.Y�:'Y" :'i•§i.,,?:.}?.�(..x:i!{:,}?,:i?:'.?:'!,::.?:'}¢ii-;!i:!;.;?,.A..)?..,...,?,.,.R..: .?p.., .,?.
TOTAL DUE=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMAHNT nuTNr;
PROCESSED ,
: JULIE SHATTO
PRINTED .BY.: ,,i..td...a.!... ::•?i=••± i i O
ii.#Ei'•. STUB U} AN—BUILT INFORMATION IEA AVAILABLE A... F COUNTY
i , E;3 'DE ci y. 4i# fy 456--3604-%. - -
CONTRACTOR APPLICANT IS TO ' ' 1N Y' CONFIRM
ELEVATION ANDPOSITION 1's" SEWER STUB PRIOR -t•i'
ANY OTPt7R
TO
E T .. .•: PIPING: WATER LINES,
ECT., -
CALL
:.r ;
SEWER STUBE F: , e E CHECKED PRIOR f ',?i`,i;!i;.,..,.3..,.i `,a TO} .INgliRF—
THAT THEY ARE I: ? f E + ? AND, UNOBSTRUCTED TO THE SEWER
••}!•; :n:n A n;i:* i.. A1_i... ! OR t;.s°•'i s'.. }:._i.} pi:; # #?.? i 0 s.'E!. 41:.**
?.....,?.....r:?c,!..:. t. HOUR! R t i:-;_. REQUIRED **iY t2'ti•7..•`.* c?y:
U ?i i?U"si;f;•.n:;a;:!,,:it. 456-3604 iso')?i ..
.............: .......... :i a.:•sr.:t.:r.:•.::. :?:.::i.:,i.:j.:,..:,::;.:: '..�;.:,.. iE;t•$7 a?r'N•t?}:i,.'j!.j..f?.a:.a:,?r,�:..;..ji• ::ii:�i;e; i•
;:•a:r•h:3!.9?..t�.,,,.!...fM1 ri.�y..J?•9+'9:•9Y fk 3t'3?•4k•!:.?)t.�.!:t:P.1..f?'?,::.!..!!. i t••i�%i:'•�i', Y±.i i' ..:...J...),t.di 3?.. :.:.
SPECIAL CONDITION CHECKLIST
Project
Address: �___ Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept,of Bldgs.
Special Insp, Final Report_-
__ _.__ T. — 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,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:.— w ._____
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:___