HomeMy WebLinkAbout1991, 02-15 Permit: 90006975 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
*ISSUED. PERMIT
.t..,!..,!..y.•!,.. ... .y,..........+r..!,..!...t;...y+..+......4}3•�;..Iw.l,.*,!..*.t+. ± ,.::{'! E S { !`,,..{i`' .I f`:{ *iIr l+i .:jF.l:.};.' f,.a..jr..JF.y„*.ti.R..l,..Pi ;..}{..!}.,+:...,..J;..t.,.!!..li.
ADDRESS= SPOKANE WA 99206
PERMIT .
i.?isi:'NOTE
�- SEWER .... NORTH Sit !
S** .`.•i::.E. I'')O f;;. •)••) •`.• _.
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= LOT= ZONE= AGSUB DISTO=
AREA= 00000000 Fr.?::• r• WIDTH= DEPTH=
OWNER= BAKER, DAVID PHONE=
, STREET= 11012 E 22ND AVE
..,, N Y iL..:.. ... PHONE )t } . r
.
BUILDIK, EETBACKF : FRONT', NA LEFT," NA RIGHT= NA REAR= NA
...+. ,l••}:• L..}f::1.-'..}i..}e:.}i..}..:it-•}+:* +: ::.+t..jl.9{•)l••}t- `,. 1, 1 R:*:h•P:9+::4•H:?+:-A•:3k•1:•a:.x..lS.y!_.i..*p..f`:':}:•A:*i+::+:ik 1?••ly:il•-A:9+:
STREET= PO BOX i41557
ADDRESS= SPOKANE WA 99214
1:0jANTITY ,FEF AMOUNT
•
PROCESSING FEr .. 11
,. ...: ., .. .. ........ .. .: ::::::.§,p—..:•.a'.:'.:a:,::'.:r.: :...,'.:;.:;.'.:l�.:!l...�.;..:n:rj.:p.'.ri A.P '+i '.Y.1 .i.,.1,.:tr
?!:;+ ! r-Pr•ik:!r li••x•9+:9k 9t!!,J+.x J'.!, J!. A.,t_P.i•.J-.N.J�.Pr:Jj.:x•'Pi•}i' +r :^€.:{ S"S•,•:.Cd t i'9 S'1:•a'•=.. .. i.3. t.'fi.... :.....1.1.JS 1.It i.'9: 7
I" :!!':N _ DATE E 'CYI_:.t PAYMENT Ny 1"[l'!: :.r1`t 1
TOTAL DUE=
0 TOTAL PAID= 50 ,00
'
PERMIT' TYPE ;-k{i`1i'E. S':jT1'pAT ,{S "1 CI Id -1 S•:
SEWER PERMIT . 50.00 90 . 0e ,
50 ,00 50,00
PROCESSED BY : jULIE SHATTO
PRINTED -BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IE AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR-. ±••±t'e' ,....},t.,(-?N ; [ t,,�. }{..� FIELD?' y LOCATE•t�•i as.'•-:i CONFIRM 1 THE
ELEVATION N POSITION SEWER STUB
PRIOR R + A
EXCAVATION
TO LOCATE. BURIED CABLES, PIPING: ECT ,
CALL BEFORE YOU (456— 000) .
SEWER ET ?_ _ , z . TO R. ,CHECKED PRIORCONNECTION' ti - INS;.!RE
THAT THEY ARE 1;.Lt:ef {: AND -UNQBETRUCTED TO THE •!:WER ,
.:.. . ........ INEPECTION PRIOR TO ******4i.***
r
:, t.r..:::i'-ii�:"::). 2 HOUR!. R tW O �.t.t.. AREWT.F67D ****r N k Jr *
-)t-:* 9t.••.J:..)HcH(-*r1 * *Ja ?„s : t : b : ?x.9Y} } i JTHANK Y {! Ii7t"*} ; : 91 **X-K,):l*":* ::k*:+t Ja7 xa.KX:iAi;
•
(
SPECIAL CONDITION CHECKLIST
Project
Address: .______-- ---.__________ ---------_ -_-- Project#__.—___.__------------� —_Use:------_--------_--_________-____
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
__.___________--__ --___ _ —__ _ Special Insp.Final Report
— — _
Hydrant -------------__________-----____-- ----- _v._—_.__-__.__--
Lock Box—_-- --- _____
Engineer's_____ _______ __ RID/CRP -
--_—.--__—_- _- __--- Easements_ ------ �_ ----
__-___________ ___ ____ Road Plans/Improvements — —___`_____-- --
-_— Bonds _ _ ________
Planning_ --- _ Bonds
Utilities _ Double Plumbing
�_ -- — U L I D_ — — --- — —
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:_ —_ v__—_—_.
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:_ ______ _ ^—___.