1991, 08-06 Permit: 91002139 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(5o9)456'3675
1 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
u correct, and authorize Spokane County to proceed with nmoossmn /n uuun/on / have read and understand the /wapscrmwnsou/nsmswTo/wcn/cs
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 thatthe issuance ofthis permit/application and any subsequent inspection approvals orCertificates of Occupancy shall not be construed to
give authority to violate orcancel the provisionsof any state orlocal law regulating construction, oras awarranty of conformance with the provisions ofany stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 91002i39 ISSUED PERMIT DATE= 08/06/91 PAGE= O1
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10821 E 25TH AVE PARCELO= 28543-2823
ADDRESS= SPOKANE WA 99206
PERMIT U~E= �gWER CONNECTION — NORTH KOKOMO
***
SE E NO|t ***
PLATO= 00 1393 PLAT NAME= KOKOMO TOWN%I E
BLOCK= 28 LOT= ZONE= AGUB DI%TO= F
AREA= 00000000 F/A= F WIDTH= i0O DEPTH= i5O R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= HART J C PHONE= 509 926 3i63
/
STREET= i082� E 25TH 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 PHONE= 509 922 8500
STREET= PO BOX i41562
ADDRESS= SPOKANE WA 9904
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:.-. PAYMENT AMOUNT
08/06/9i
5376
5O.0O
TOTAL DUE= DUE=
.00
TOTAL PAID=
50.0O
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
-------------
--------------- -------------
%EWER PERMIT
50.00
------------
5O.Otl)
.011)
-------------
50.00
------------
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 IN TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
M
MM
AM
I
M
Dept, of Bldgs.
Special Insp. Final Repo
- ----------
Hydrant ( )
..... ...........
--------- ------
Lock Box
Engineer's
RID/CRP
Easements.
Road Plans/lmprovements__.____
Bonds
Planning—___
Bonds
---- — — — ------
U t i I i t i es
Double PIIjmbing_____
UL I D
---- -------
.6
THIS SPACE FOR COMMERCIAL PLANSTRAC-KING, CERTIFICAtEoF occuPANCY ONLY.-
Date received for C/O processing::
Plans pulled for final processing -
Temporary C/O issued7
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: ----------