1991, 03-28 Permit: 91000535 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
Nk13D3BROADWAY AVENUE
SPOKANE, WASHINGTON S92GD
(509) 456-3675
1 coGY&W I haveexam Wed Hs permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
un000,motand authorize a okunoCounty to proceed wiN processing. In addition, / huve mad and understand the /wepsoTmwncuumsmsmTs/wur/Cs
herein / with same. All provisions o/laws and ordinances governingmmte of work will be complied with whether specified
herein v,not. / understand that the issuance mthis permit/application anuu"/u"uoonuontmowmoonunnmv /no,com,.outeomocovnomyovuxno,u000numoom
give authority mviolate v,ounm,/the provisions many state u,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 oRAGENT DATE
PROJECT NUMBER= 0000535 ISSUED PERMIT DATE= 03/28/9i PAGE= Oi
**************************** PERMIT INFORMATION****************************
SITE STREET= i1004 E 24TH AVE' PARCEL*= 28543-203
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
***
SEE NOTE *** '
PLATO= 0Oi393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 2700 LOT=ZGNE= AGSUB DI%TO= F
;nvq~ 00000880 F/A= F WIDTH= DEPTH= R/W= 70
0 OF i 0 DWELLINGS= i WATER DIST =
OWNER= KADOYA PHONE=
STREET= ii004 E 24TH AVE
ADDRESS= TPOKANE WA 99206 _
CONTACT NAME= ^EONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT * ****************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= ii8i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECT7- 40.0O
PAYMEN7
PAYMENT RECEIP04: PAYMENT AMOUNT
03/28 50.00 '
-------------
,TOTAL
-----------`TOTAL DUE. TOTAL PAID= 50.00
PERMIT TYP-' FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- -- ------------- ------------ -------------
%EWER PERM!. 50.0O 50.00 .00
------------- ------------ -------------
- .1- 50. .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A% -BUILT INFURMATION I% AVAILABWE H[ THE COU=
UTILITIES DEPARTMENT (456-76M
CONTRACTOR OR APPLICANT ,'^L.D LOCATE AND CONFIRM T
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVAT77; -
TO LOCATE BURIED CABLE%1 �A% PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG(450-8O0O) '
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE L ` UNOBSTRUCTED TO THE %EWFR MAIN
^ ********* CALLFOR INS-PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE'REQUIRED **********
********* 456-3604 **********
THANK YOU
` ^
' '
Project
Address:
Dept. Date.
Dept of Bldgs.
----------------- -
Engineer's __-_.... ...._.-- _----
Planning___..
lJ t i I i t i es _------------------__.._ __- -_ ...
Other-------_—�-- - ------ -
SPECIAL CONDITION CHECKLIST
------------ -- --------------- Project # - - -- --- --- - --- _... - - _..-Use:
Condition:
Special Insp. Final
Hydrant( )------------------------._`_.------ --
Lock Box ___ -------
RID/CRP _ __--
Easements____---.-----------------------------------__.___ _
Road Plans/improvements__--
Bonds
Bonds_ . - __..... ...... ..... _..___ .. -
Double Plum
U L I D ____
Appr
(out)
THIS 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 nays after C/O issuance
Ownervcontractor called regarding the return of plans: _.--__.._._. ..._____.___-._._________ ... __-.__...._ Date:Plans returned -- -- -- --- - - ---- - --- - ---- --. Received by: -------------------
No response from owner/contractor - plans destroyed' ------------ -------------------...______-- -- __ _-.-. _ -. __ _.--__-.-- _- -- .-_ ----