1990, 11-06 Permit: 90005453 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 authorizeu m^ County to proceed withnmoossmo 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 OR AGENT DATE
PROJECT NUMBER= 90005453 DATE= 11 /06/90 PAGE= Oi
ISSUED PERMIT
*************************** PERMIT INFORMATION ****************************
%ITE %TREET= 10820 E 25TH AVE PAPUA L0= 28543-2905
ADDRESS- %POKANE WA 99206
PERMIT U%E= SEWER CONNECTION - KOKOMO
*** EEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 29 LOT= ZONE= AG%UB DI%T4=
AREA= 00800000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= nWELLING%= i
OWNER= HILL : CINDY PHONE
' �
%TREET= iO82o E 25TH AVE
ADDRESS= %POKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5.45
BUILDING %ETBACK% : FRONT= NA LL',.- 1 = NA RIGHT= NA REAR= NA
***************************** %EWER ,ERMIT ******** *********** **** ****
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO .00
SEWER CONNECTION i 40 .00
*********** *** ************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTPAYMENT AMOUNT
11 /06/90 7030 50 . 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 . 00 .00
- ---------- ------------ -------------
5O.00 50. 00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWERSTUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
OuNiRUitJH OR APPLICANT I% TG FIELD LOCATE AND CONFIRM THE
FXEV������N AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
TO LOCATE BURIED... COMES : �A% PIPING , WATER � INE% , FCT ,
CALL BEFORE YOU DIu ( 45�-80OO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COYER **********
******** 24 HOUR NOTICE REQUIRED **********
**********
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
--____-- ---------_____.__-- __-. Special I n s p,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 OF OCCUPANCY ONLY""`"
Date received for C/O processing: _ —____— — _ _.Plans pulled for final processing:
Temporary C/O issued:_____.—____ _— Certificate of Occupancy issued:.___ _
Office tile review by: __-- «__.--—_--__-----___---. Date:
Filed ;nsp 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: �� _