1991, 06-11 Permit: 91002030 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
'FROUECT NUMBER=
-91002030 TSEUED PERMIT 'DATE= 06/i1 /91 PAI.:E=
PERIT iNrnpmATiciN .. .. .. .. ....... ......'J'..... ,..,... ...j:.: .. ...
PERMIT UfE= SEWER CONNECTION FOR KOKOMO TOWNETTE
AREA= 00000000 F/A= F
OWNER= H:. .
STRET= 11219 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CON :' : dM ........ _
BUILDING
RERmTT
CONTRACTOR= H CONETRUCTION PP.ONE= 5(:)9 926 S964
11S17 E VALI....EYWAY AVE
ITEM .DEECRIPTION 7EE AMOUNT
.:.-.:. .. ..F.:.:-�.:. :�,:�.:......:}... ....t._r... r.. ....,.... ':•1}.....
RAymENT :.. .. .. .. . . . :'3:1}:!j::'t:'h:�'... .. r:3•..: .''!';}::1'. r ':t'i}: '. . ... ..
• 06/11 /91 3520 50 : 00
ioiAL DUE= ,00 TOTAL PAID= ,
PERMIT TYPE FEE
AMOUNT
PROCESED BY :
PRINTED; j }
SEWER ETUB AE-BUILT INFORMATION IS AVAT!...ABLE AT THE COUNTY
... .... .........
ELEVATION AND POSITION Or SEWER ETUB
PRIOR TO ANY OTi-:E.R
EXCAVATION
TO LOCATE BURTED CABLES, GAS PIPING ,: ,WATFR !
y
,S'EWER ETUB:::: ARE TO BE CHECKED PRIOR Tp OONNECTION TO INEURF
THAT-THEYTHAT - THEY ARE CLEAR AND UNOBSTRUCTED TO THE EEWER MAIN -
CALL FOR INSPECTION PRIOR TC COVER .)i..***§** *:),
'24 HOUR NOTI!...,E REOUTRE
456-3604
1
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
� ' |
(in) (out)
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- ' --� - -- -- --- |
Dept.of Bldgs,
/ ! | Special ! _
--- - - -- \ -----
_-_ --. -- -| --�
Hydrant< >
Lock Box ! `
! /
------ � ' --i '
Engineer's_- ' i __| RID/CRP
/ ! ' Easements
-- --' - --
Road Plans/Improvements
' .
-- - ---/ ' --|
Bonds
| - /
Planning
/ --| --}
----- ' --{ / /
. .
-- -- --| -- --
---- ' -- -- - !
-- - --i !
Utilities ' Dov�e�mn�ng
UL0
| /
- -- -- - -- '
Other
� }
-- /
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} / `
—^^'—``'~~^`~'~`~~'THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY'````~`^`~~``^~`~~```--
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 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: __