1991, 11-27 Permit: 91005676 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
ME 1N3 BROADWAY AVENUE
SPOKANE, WASHINGTON g9260
(5Q9)456-3675
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u mm uauthorizen kCountym �noouwn»nmvossmn 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
hereW ornot. I understand Nat Teinuame ofthis permit/application and any subsequent inspection approvals or Certi1icates of Occupancy shallnot be contrued to
give authority to violate orcancel the provisionsof any state or local lawregulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OnAGENT o4Ts
PROJECT NUMBER= 91005676 ISSUED PERMIT DATE= ii/27/9i PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE STREET= i0926 25TH AVE PARCFLO= 28543-30ii
ADDRESS= SPOKANE WA
99206
PERMIT USE= SEWER CONNECTION — NORTH K~KGMO
***
SEE NOTE ***
PLATO= 00393 PLAT NAME= KOKOMO T WH%ITE
BLOCK:::: LOT= ZONE= UR -3.5 DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
i .
OWNER= FLOYD
STREET= i0926 E 25TH AVE
ADDRESS= SPOKANE %POKANE 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 10562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
-------------------------
PROCE%%ING FEE
SEWER CONNECTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT
-------- ----------
Y i0.00
j 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:'..: PAYMENT AMOUNT
ii/27/91 9068 50.00
------------
5O OO
TOTALDUE= PAID= .�O TOTAL ^
'PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00
------------- ------------ -------------
50.011.) 50.O.1.) ^OO '
_
PROCESSED BY: JULIE %HATTO
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
. �
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
`
TO LOCATE BURIED CABLES, GAS PIPIHG, 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 *********************************
Project
Address.
Dept:
Dept. of Bldgs.
•
•
Utilities
Date:
SPECIAL CONDITION CHECKLIST
Project
Condition:
Special Insp. Final Report_ _
Hydrant ( )�—
Lock Box _
RID/CRP _
Easements---
Road
asements_ _Road Plans/improvements
Bonds _
Bonds —
Double Plumbing
ULID _
""**`*°`THISSPACEFOR COMMERCIAL PLANSTRACKING,CERTIFICATE OFOCCUPANCY ONLY
Date received for CIO processing: Plans pulled for final processing
Temporary CIO issued:.--- Certificate of Occupancy issued:
Office file review by: _____. _--— _ _ Date: _ ___--
Filed insp finaied by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Pians returned: — __-------.� — __
No response from owner/contractor - plans destroyed:
Date:
Received by:
Init:
(in)