1991, 02-15 Permit: 90006552 Sewer ~ -,,,.....--
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
| W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfvmot/hxvooxxmmeum/onmmmon»ovuuon.omtomatmomm,muoonvontumoomnvnuuvummouuvmvonnvagentmoumpneoomp rmit/application is true
and correcand authorize Spokane County to proceed with processing. In omn I have read o understandm 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 ,,,,,,,;,(4
. .
_ _
- -
PROJECT NUMBER= 90006552 DATE- 02/15/9' PAcE= 0.1I%EUFD PERmIT
*�* *),.:********************** PERMIT INFORmATIO'N ****************************
%ITE %TREET= i «8O5 E 2"u» AVE PACE| �= 28542-29iO
� � '` '
ADDRE%%= %. OKANE W" 99206
PERMIT UZE= %EWER CONNECTION - NORTH KOKOmO
* * EEE NOTE ***
= 001393 PLAT NAME= KOKOMO WN%ITE
BLOCK= 3 O = ZONE= AG%UB DI70= i::-
AREA=
AR = 000OOOOO F/�= E WIDTH= DEPTH= R/W=
c� y � �
� QF��B�DC�= ' � DWELLI.,�E= � -- � ��
OWNER= HE DRICK%EN PHONE=
ETREET= 10805 E 22ND AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= %TAN - ENVlROGUARD PHONE NUMBER= 509 924 5595
BUILDING %ETBACK% . FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** 7EH77-",' 'FRMIT ** ***** * * *****************
CONTRACTOR- ENVIROGUARD INC PHONE= 509 924 5595
%TREET= PO BOX 14i557 ' -
ADDRE%%= %pOKANE WA 99214
�
ITEM DE%CRIPTION QUANTITY FEF A�OU �
---------------------_---_------ -------- ----------
PROCE%%IN!, FEE Y 10 .00
%EWER CONNECTION i 4O^ OO
******************************* PAYMFNT UmMApY ******************** *******
PAYMENT DATE PFCFTPTPAYMENT AM;iNT
.
' .02715/91 708 5O .00
.
------------ �
� TOTAL DUE OO TOTAL PAID 50,00 `
= ^ =
PERMITTYPE FEE AMOUNT AMOUNT PAID AMOUNT AWING
--------------- ------------ -------- --- -------------
, -
SEWER PERMIT 5O .00 50. 00 � .00
------------- ------------ -------------
5O.00 50.00 . 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AE INFORMATION I% AVAILABLE AT THE COUNTY
. .
�� T���-D��Ax����T-(4��-���4) -- �- �� -�
u / -^
CONTRACTOR OR APPLICANT IS: TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF JEuEn %TUB PRIOR TO ANY OTHER
EXCAyATION
- TO LOCATE- BURIED CABLE% .`GA%:PIPIN� WATER LINE%, POT ,
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� L�-����R�-���-D�G- ����-8��O\ - - - ' -- �
^" � -�' - ` ' "" ^ ` `~ -' '
%EWER %TU R B D-P G T CONNECTION TO` %URE '- '
T �
THAT THEY ARE CLEAR %TRU T D TO THE %EWER MAIN
********* - -
�A�L �O��I��PFy N PRIOR TO COVER ********** -' ' ` ''^'
***§....,...****** 24 HOUR NOTICE| ' REQUIRED *******ii:*if: � ' , . '
********* 456-3604 **********
** ** ************** ****k** ** THANK YOU *********************************
'
I
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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,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 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: _ _ -------------------------------_ _..-_----___---_---__--------___--