1991, 01-15 Permit: 90006973 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 itted by me or my agentm compile said permit/application is tro
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= 90006973 DATE= 01 /15/91 PAGE= Oi
I%%UED PERMIT
* ************************* PERMIT INFORMATION * **************************
/ %ITE STREET= 11416 E 23RD AVE PARCEL,T= 28542-3823
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO -� - -
*** SEE NOTE *** ' _
PLATO= 001393 PLAT NAME= KOKGMO TOWN%ITE
BLOCK== = ZONE= AG%UB DI%TO=
OOOOO�OO ��� F WIDTH= DEPTH= R/W=
nx�o= � ~
� OF BLD�%= ' ' � � DWELLINGS= i
OWNER= C RRIGAN PHONE=
STREET= 11416 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TLC CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 138i6 F 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTT PAYMENT AMOUNT
01 /15/91 190 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.00 50.00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
| UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAJ PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INEURE
THAT THEY'RE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL ALL FOR INSPECTION PRIOR TO COVER **********
***)f..****** 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************* THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: ________.______—_ __ — Project# Use:
Dept: Date: Condition: Init. Appr:
(in) (out)
Dept. of Bldgs.
Special Insp.Final Report
�. —_-- Hydrant ( ) —_--
----- —. Lock Box_—
Engineer's_._._..__.____ —____—_ — RID/CRP
—_-- --___--- -- Easements_
----_ N— _ Road Plans/Improvements
•
Bonds
Planning__.___.___ Bonds
Utilities __ Double Plumbing_
_ — •
U L I D_ —
Other__----._______. _ — ---
""""""••*•' "***"""THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY—*** *"""""""'**" *`
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/C issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: -------.___-_-_-_---------------__-------____-- — _. Received by:
No response from owner/contractor-plans destroyed: -_---.-----.--._.__--