1991, 02-15 Permit: 90006977 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
PPOjECT NUMBER= 90006977 DATE= 02/i5/91
yi. .:,i. :.}::j.:,(.. .:+i.:fi. :l:�:fi. ;.H• `•{i'±�+. ..t.' .
't`r3=:9'r::y?"j('i+:•tlh......!t',.:...t"3!':.:. .... 'i.. ....... .... .. .... ..
WA
PERMIT USE= SEWER CONNECTION L NORTH KOKOMO
* 'i;• SEE NOTE E K*..,:
PLATO= 001393PLAT NAME= .......... ...{'i i
TOWNTTF
BLOCK=2
DEPTH.
.
f 4 3
ETREET 11221 E 22ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= R e't
BUILDING- SETBACKS : FRONT= ,,,f..{ t...C:±" ± ::: NA RiuHi = NA REAR
ypt * int . ik Pt :ii : t lt P : nP : ± tr ? PERMIT { t "; : : h 1
¢ ; r np . :J .; . * :Ii '
RuGUARD INC PHONE= 509 ??4
y .:
STREET= PO BOX .141557
ADDRF:;'S=. 5:POKANF WA 99214
QUANTITY FEE AMOUNT
t:::r::...t"."..s::,,,,.;,,, t::,...
:".-;EWER CONNECTION
::.:,:.:i.*::::::.:: :i,:'..i',.i::n., .,. ..:''.....j(..t::,:a!,: :.:.i . ::'t v{i ...,,. . .. .. .. . .., . .. :. .. .... e. ,.
.. .. :,P..........t-.!. , !.:t i 1+.it ......).,+...P:a..t.:+:t. .,:. �: ',;:.- ,�.:.t y.,,..�,..};...;..,}
PAYMENT DATE PECETPTa PAYMENT AMOUNT
02/15/91 704
TOTAL i i TOTAL PAID= 50 . 00
..:•:.r•.:.. ,:
AMCIU
SEWER PERMIT 50 .00 , 50 „00 ,00
:
: JUL E SHAT TO
S
EWER S # i_li, f�t,::...."rfUI ± INFORMATION. ISAVAIL AVAILABLE AT
U i .±,,.I t IEf.i DEPARTMENT (454-3604)
CONTRACTOR l ' APPLICANT
. : ," ti_ ± ) TO FIELD
.1 ± ? 1i ra, YCONFIRM , s F
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
•
t� t...i it [1''. ?{.iii tt..t-•.;..'t,:.I i. ,3 i it ...± ...}`t'•, ,;t, {. ....;.fli' ... .. ... ..
CALL
.. YOU DIO bt
SEtt?t::.F - ... i,,?.. A t.:. i ,± t" CHECKED PRIOR i•': .f •i CONNECTION TO 3 t•'t . .
THAT 'j'l..i:._•.s ARE CLEAR ill\.. - UNOBSTRUCTED TO THE ..',EWER MAIN
4§ 1:****** CALL FOR- TNEPEC',TtoN PRIOR TO COVER NOTICE i4� P
Lki3F44it2 � :d . .. 7 y.
456-3604 :...tL 1.:4{...:A y;1t,U
*******.x..:,.......,..,,,.....,,. .. .,,. .t.:-:".a,:::.a..:t.:',3i.. ,t±;. :{.:}�.a:.:;{..;.-a*•},a}?...f}-4`.iti N.j`.,..a:.a**?7 i+�'1`i
.y:.}..}:..}..}..}v. >.i`:i;.i'- } p•.,t;i., ,. .. 1. }. P„:: Hft',!,, -f.�, {,i t.......7.t.7.i
k j
i_' I
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 —. — — --
---- ------------
Planning-- Bonds_
Utilities._ Double Plumbing
ULID
Other,
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:__________