1991, 11-27 Permit: 91005333 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON Q8280
(50S)456'3675
1 catifythatl hue exam Wed this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
u correct, anduvmvnz Spokane County to m000 :m processing. In addition, / 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
hervin o"ot. I understand that the issuance of this permit/application and any subsequent inspection appmvals or Certificams of Occupancy shallnot be comtrued to
give authority to violate orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF AppUCxT|0w
OWNER OR AGENT DATE
PROJECT NUMBER= 91005333 ISSUED PERMIT DATE= ii/27/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET=
11402 E 24TH AVE
PARCELO=
28543-204
ADDRESS=
SPOKANE WA 99206
PERMIT USE=
SEWER CONNECTION — NORTH KOKOMO
*** SEE NOTE ***
PLATO=
00393 PLAT NAME=
KGKOMO TGWN%ITE
BLOCK=
25 LOT=
- ZONE=
UR 3.5
DI%TO= F
AREA=
OOOOOOOO F/A=
F WIDTH=
DEPTH= R/W= 60
4 OF BLDG%=
i 0 DWELLINGS=
i WATER
DIST
=
OWNER=
GN M % G
PHONE=
STREET=
ii402 E 24TH AVE
ADDRESS=
SPOKANE WA 99206
CONTACT NAME=
RON %LOAN
PHONE
NUMBER= 509 922 8500
BUILDING SETBACKS:
FRONT= NA LEFT=
NA RIGHT=
NA
REAR= NA
***************************** SEWER
PERMIT ******************************
CONTRACTOR- ALWAYS ACTIVE
STREET= PO BOX i4i562
ADDRESS= SPOKANE WA 9904
ITEM DESCRIPTION
-------------------------
PROCE%%ING FEE
SEWER CONNECTION
PHONE= 509 922 8100
QUANTITY FEE AMOUNT
-------- ----------
Y iO.00
i
40. Oe')
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
ii/27/91 9068 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 5�.O01
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
--------------- ------------- ------------ -------------
%EWER PERMIT 50.0O 50.06.) .0 ;__)
------------- ------------ -------_-----
5O.00 50.00 .00
�
PROCESSED BY: JULIE %HATTO
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNT)''
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION '
TO LOCATE BURIED CABLE%, kA% PIPING, WATER LINES, ECT.,
CALL BEFORE YOU Diu (456-8000)
SEWER STUBS ARE TO BE CHECKED -PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWFR MAIN
********* CALL FOR INSPECTION PRIOR TG COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: - _- Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
- _ Special |mp. Final Report
Hydrant( ) — — —
Lock Box
Engineer's _ RID/CRP _ --
Easements
Road Plans/Improvements
Bonds
Planning __ Bonds
-- — -- -- --` —
-- -- -- --' -- —
Utilities _— Double Plumbing
ULID
Other �
`^~``^`````````^^``^```````THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OrOCCUPANCY 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 afteC/O issuance:
Owner/contractor called regarding the return of plans: ________- _ Date. ______-_- ________—
Planvnetvmeg: Received by: --
No response from owner/contractor plans destroyed: