1991, 08-06 Permit: 91001828 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= 91001828 I,.:6:t.{E_? PERMIT DATE= 08/06/91 PAGE= 01
. . . .T.• .......
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SITE STREET= 11118 F 22ND AVE F'ARcE:}... := 20542-3204
ADDRESS:::: SPOKANE WA 99206
I'E::RMIT. USE= SEWER CONNECTION .... NORTH I<C)KOMCi
..... SEE. NOTE ** .
PLATO= oi : 9_h PLAT NAME= KOKOMO TOWINSITE
BLOCK=B = ` 8 LOT=( T= •:.±..±I NI;• f:j t-r"I.)I'I Ii:.:'s i :tr=
AREA= 00000000 1 f.= F WIDTH= DEPTH= !•,;; 1,+�::
OF BLDGE= I :: DWELLINGS= ! WATER DIST =
OWNER= WATK:i:N:_', B N_ PHONE=
STREET= '1 I I ! + E� 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= R C)N i...C i(••?1 N PHONE NUMBER-, 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA 1 !'•'...i.4•. . :::: (•r r•:t REAR= NA
r x a»a h x v k t » t e k it j »7tyht*hSEWER F'E R' • .*N.R P.RR.**PPlP ¢P *} *P* ....:P.*.
CONTRACTOR= ALWAYS ACTIVE PHONE=tN}.:::: :( j 928500
STREET= , U Ef j.i%t. 141562
ADDRESS= SPOKANE WA 9921 4
ITEM DESCRIPTION Ei'.IP1'ION (;1i._iAjJiI. ! J !"::.':: AMOUNT
PROCESSING FEE T� 10 ,00
SEWER CONNECTION t`t`'j . t'i?;j
»•-ir•P:-h:P.'R-L.'N:•N.'P.•P.'P.*A:•h:•i{ }l..p..:H:$:•j4•j{'P.9R*9k 9k P.•A:ak pr s T I'S E:.!`*I T S I.i!"!t'!F?I'S Y ik•P.•ii•in.•'u:•ri••ik•+k•+k*ik•+k•u:•n••n:•H:•n:*•hi•it•*n:•sk)k•Jk ar•n:-u:
PAYMENT DATE Rr...c.:E:::}.I-'T:. PAYMENT AMOUNT
08/06/9i 5382 50,00
TOTAL DUE= „00 TOTAL PAID= 50,00
PERMIT I' ! YF'E: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50..00 50:.00 :.00
-- ---------
50,00 50.00 ,00
PROCESSED BY : JULIE t>! A t ± t..+
PRINTED BY : :.IiiI...iE:: SHATTO
k ! Wr ` STUB ' S. BUILT
11 . it .i ;ri7fN IE A,AJIAiiEf1 THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR i l R APPLICANT :}::`.s TO FIELD LOCATE AND N D 1'f iNFIF{`M TE I l
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY IttIII:::I°
EXCAVATION
TO LOCATE T CABLES, GAS PIPING, WATER IIrCS, C
, t _
Cr••?i...!... BEFORE. YOU D.I.G (456-8000)
SEWER STUBS
SUBS AREcBE CHECKED PRIOR t1 CONNECTION _ O INSURE
THAT THEY ARE " _=+ i AND UNOBSTRUCTED
TO T I..i E SEWER MAIN
CALL !" R INSPECTION PRIOR TO COVER •lk n-•jt•*i[•-'P.n•4r»•x
A4' )t3t•ik9!•9kik9t 24 }•!t:!+.+i-; NOTICE REQUIREDtt•4r�:�L•9t.}t.:J;.n•x•1t•
•P*7k•A.'*4{.k•** 45/.....604 . •).-b.•R••yl•-j{••P.•.**
}t:**-jt.-jt•JL•.P.'A.)t-P:9l•it•n)t•A-•..)*.b•A•*:it•*9!•. it-)i-*3t•Ik iL' THANK Y U U ********************************K
SPECIAL CONDITION CHECKLIST
Project
Address: __-__ _ ---- ------____-_-- �__ Project#___-____-- Use: _____-__._
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept, of Bldgs.
Special Insp.Final Report
Hydrant( ) -- -_- _
Lock Box-_ -- -- _
__ _ ----- -- ---_-______- - --- --_-- _ -- a--- --°+ -_ - --__-
Engineer's_.____-___-- --_ RID/CRP
Easements
Road Plans/Improvements
Planning_ � _ Bonds
•
Double Plumbing__
__. ULID
Other
•
""""THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFtCATEOFOCCUPANCY ONLY`****"`****""**"***" **°***
Date received for C/O processing: Plans pulled for.,finalprocessing:
Temporary C,'O issued .___ :Certificate of Occupancy issued ----._ ___ .:_«.
Office file review by: ___ __-- W _. Date: --___._--
Filed insp finale.d 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:___________-_ ---____--