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1991, 06-11 Permit: 91002155 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 additionI 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 OnAGENT DATE � PROJECT NMBE"- Y10,0-2.155 ISSUED PERMIT D�TE= 06/1i /91 PA�F= »i - * ************** �c�MI� �NF�� AT��N ** ***^v************ ****** * � ** ****** �** . + . SITE- STREET= 10810 E 24TH AVE PARCEL.4= 28543-281i ADDRESS= SPOKANE WA 99206 PERMITc �' =' %E� �R CONNECTION - NORTH KOKOMO ` � � �� %�E NOTE- *�T - ` . P = 001-393 - PLAT N = KOKUM (C PRINT � " B[�j� = � LOT= 5 ZONE= %UB DI%T�=- ~ F � 'AREA= 0O00OOO�) = F WIDTH= �-2OO � DEPTH= 130 R/W= 70 -�� OF BLDG%= i �� DWELLIN�3= i— -��TER DI%T = ` OWNER= KUCHBILL- PHONF= 5O9 -924 8�67- � %TREET= iO8iO �� 24TH AVE . / - � ADDRESS= SPOKANE WA 99206 - ` ` COAC�- NiME= LEONARD PHO NUMBER= 509 �!�26 8964 BUI1- « NL' SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA `_ - ' ` *********K-K-)C***K�***�******�* %EWER. PERMIT ****************************** CON7RACTOR= H & gCON%TRUCTION ~ PHONE= 509 926 8964 % 11.,..EE. 1 IE VALL.c�YWAY AVE ` ADDRE%%= SPOKANE WA 99206 ` ITEit DESCRIPTION _ QUANTITY FEE AMOUNT - ------------------------- -------- ---------- PROCESSING TEE ' ' - Y iO/3O •' � SEWER CONNECTION � i � ' 4�� 0� ^ _ -. -- _ ^, *****p************�************* PAYMENT %UMMARY **************************** ` . PAYMENT DATE RECEIPT� PAYMENT A�OUNT - � ' - -06/1.1 /91 3573 . , 50 .00 _' - -_-------- TOTAL DUE= - .00 TOTAL PAID= ' - 50.80 ' PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING -- ------------- ----------=-- ----=------- ---^----~---` SEWER PERMIT 50.80 50.08 '00 ------------- ------------ ---_-------_- 50L.00 50'8O ^OO R3CE:%%ED BY JU' `- !�ATT~ � � ^^ . PRINTED BY : JULIE %HATTO ! ` -- - SEWER :.: TUS A% -�UILT INFORMATION I% AVAILABLE AT THE-CSUNTY ! U*TT ILITIE% DEPA::.'ThE�T ( 456-3604) _ , CONTRACTOR ::::S ,:::1T7::- Tr''. .-.-„ T l.� TC ::::7ELD LOCATE AND CONFIRM THE ELEVATION AND �::..:SITI0N UF ;'.:::EWER STUB PRIOR TO ANY OTHER EXCAVATIS TO ' OCATE BURIED CABLE% �A� PIPINC , ; ATER LINE% , FCT . - �. � 1 ' CALLBEFORE ' C ;- DIG (45"-8O0) � ' %EWER ARr TO BE �HFCKED F6 ;�� TG CONNECTION TO �N�} �� - - THAT T *''O E CLEAR AN 'UNOB%TRHCTED TO THE SEWER MAIN ********* CALL FOR- INSPECTIOPRJ�R TO COVER *********ii, ********* 24 HOUR NOTICE �E�i.ilRED ***4:.0.***** ********* --456-36O4 ********** , ***************� *********** ** THANK YOU ********LK************* ** ****** - - - - v ' ' . i � ` ',. _ .� ` '� ' ~, ° [ | ' _ \_ ~ J� _ - 0 �~_~_ __~_ SPECIAL CONDITION CHECKLIST Project Address: - Project# Use: Dept: Date: Condition: 'nit: App,: (in) (out) -------� -- � ----. --| --- -- | ! Deptcxa|uoo | i | . | . Special lnsp.Final Report Hydrant( ) ! | Lock Box | � � ! ----- i -| --! - -- � | / � --------- --! / -- - | ----- --| i -- -- -- - Engineer's__ __ _ __ | __ RID/CRP Easements | � | ' ! Roaunano Plans/Improvements / | ------ --' | --| ~ Bonds / | � Planning __� ' | Bonds | / ' -- - --/ ! --/ -- Utilities _ | _—| Double Plumbing --� --' uL0 ! ' � Other ------- --. | -- ` -- -- ------ - -- _ | ' -- -- ' ! ~`^^`~—'^~^`~`^`'^'^~`~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY^``~`^^'~^```^^`~'~````' Date received for C/O processing: Plans pulled for final processing: Temporary C/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: