1990, 11-20 Permit App: 90006290 Sewer SPOKANE COUNTY DEPARTMENT OF 4:10••••••••••••••••••••••••ILDINGS
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1303 BROADWAY AVENUE�
W/ POKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained/ it and submitteduv m� compilesaid permit/application permit/applicationis 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 0nAGswTo�Ts
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PROJECT NiUMBER= 90006290 DATE= ii /2O/90 PAGE= Oi
APPLICATION
**** ************************ APPLICATION *********************************
SITE STREET= ii312 E 23RD AVE PARCEL4,= 28542-3R75
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE *** '
PLAT4= 001393 PLA- NAME= KOKOMO TGWN%ITE
, BLOCK= LOT= ZONE= AG%UB DI%T4= F
AREA== OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLD = i 4 DWELLINGS= i
OWNER= QUICK , CHARLES PHONE=
STREET= 11312 E 23RD AVE
ADDRESS= SPOKANE WA 99206
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CONTACT NAME= JIM NIEL%ON - JR II PHONE NUMBER= 509 924 6077
, BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACT�R= J.R. II CONSTRUCTION PHONE= 509 924 6077
STREET= 10504 E VALLEYWAY AVE
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ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-------------------_----_ -------- --------
. PROCE%%ING FEE Y 10.00
` SEWER-CONNECTION i 40.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
5O 08 OO 5O
%EWER PERMIT ^^ ...00
------------- ------------ -------------
7 .00 � �
� 50.00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
uilL1T1EDEPARTMENT (456-36O4)
] CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION QF SEWER STUB PRIOR JO, ANY OTHER
IEXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG (45 -8OOO)
SEWER STUBS ARE TO BE CHECKED PRIORTO CONNECTION TG INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTEDTO THE SEWER MAIN
********* CALL FOR INSPECTIgN PRIOR TO COVER **********
********* 24*- P NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
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SPECIAL CONDITION CHECKLIST
Project
Address: Project#_________.__.________._____._ Use:_.____________.__--___.____.-.__---___-..
Dept Date: Condition: !nit: Appr:
(in) (out)
Dept of Bldgs.
—__ Special Insp.Final Report
Hydrant( )
--._ ..__ Lock Box.-- --- -------_----_ .-----.____----___ ____ _ _._-____.______
Engineers_ RID/ RP .
Easements_ __.__________
-- Road Plans/Improvements
_._________-_---___ Bonds
Planning — — — Bonds— -- — —
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Utilities_ __ Double Plumbing
ULID_
Other_.____
THIS SPACE FOR COMMERCIAL PLANSTRACKING,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:__ �_