1991, 07-22 Permit: 91004379 Sewer J ~
islimimimmourop ' .
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 permit/applicationis true
and correct, u 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• 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/app •. •.n.a y subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of,. . -•r VrIP, .igufating 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 v. 7/2 2.7,7z____
PROJECT NUMBER= 9i004379 ISSUED PERMIT DATE O7/,2/9i PAGE= O�
— � =
**************************** PERMIT INFORmATIGN ************************* * '
EE %TREET= ii22O E 22ND AVE PARCE = 28542-32O7
ADDRESS= :SPOKANE WA 992O6
PERMIT USE= SEWER CONNECTION — NORTH KOKOHG
*** SEE NOTE ***
PLATO= 001 393 PLAT NAME= KOKOMOT WN% TF
BLOCK= = Z ON E= UR— .5 DIET:;;,=
AREA= - F/A= F WIDTH= 100 DEPTH= 130 R/W=
� OF BLDG DWELLINWATER DIET =
OWNER= CARPENTER . CRAIG PHONE=
STREET= 11220 E 22ND AVE
• ADDRESS= SPOKANE WA 99206
CONTACT NAME= RAY %HORT •
PHONE NUMBER= 509 928 2471
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 2471
STREET= 9i16 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE • AMOUHT
------------------------- -------- • ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40 .00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
07/:22/91 4900 50. 00
.
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50.00 50 00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER %TUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8O00)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION �`RIGR TO COVER ****** ****
********* 24 HOUR NOTICE REQUIRED ********** •
********* 456-3604 **********
* ****************************** THANK YOU *********************************
•
SPECIAL CONDITION CHECKLIST
Project ,
Address: . _______________-- ------_ _ Project#--___._-- _ ___-- __--_.__-_--Use: __._-._
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept,of Bldgs.
._.______. _._—__ Special Insp. Final Report_
...._ ____ __ ._ Hydrant( ) ___
__ --- — Lock Box__ — — — — -- ___ _____ -
Engineer's —__-- _ RID/CRP —_ _
—___—____ _____ Easements.. _ ___ _______.__._-_.
_._ ________ ..--_ ___ __ _ — Road Plans/Improvements___-- ------__-- -___ -
_______-_________ --____-- — Bonds —_________
•
PlanningBonds_---__ --- __.__._._
Utilities — __-_--. Double Plumbing._
�_._--- ULID
Other
`----' '." '`""`""'"—THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY'"'""""'"""`'`""'"*""'"'
Date received for C/O processing: _____— —_ Plans pulled for final processing: ___._ _ ------
Temporary 0/0 issued:- . _-__ —__ ____ ___-.Certificate of Occupancy issued:.___ ____
Office file review by: __ Date: .._.
Filed insp tinaled by: _________ _ ----- Date: i .
Ninety days atter CIO issuance:
Owner/contractor called regarding the return of plans __„____ _ —__ Date: ___ ___
----- ----- ._._.
Received by: __.v ....._- ____-
No response from owner/contractor-plans destroyed: --------- ------ _- --