1991, 04-30 Permit: 91002173 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)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
and correct, and authorize Spokane County to proceed with processing. In addition, I 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 thatthe 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 orloca la regu ating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF OWNER OR GDATE—
ENT 1
DATE / �J`/
,.: ;. ,.., •_, e...:.. ? NUMBER= 0002173 .?.S::.i.{EJ PERMIT DATE- .. .. ._.:.``'f`{ PAGF= 01
;.: •.::.: •.:, •.: :.::.:...:::..: .::.:.:.:......: {.:.:. • : ':.: j.: a :N.: •.: F.: w a;.:t{.: ;.?-. ?i !�. 7! :+. ?, 1.., Y ?-. 1, .-... 7k i! !... 'Y! F. J. 1, .. #. 1. }. ,... }.
PERMIT {N OR d{OV ??• •!i. ��. �...,�. j}..,.. ft..t?-'Jt 'fit• l5l 1+i k i+;.:,;. ,+(.:,t.:r...j..jl..;(..j}..}!. i+,i .;t �* .j;.
SITE STREET= 'i :3 0 ; i•• 25TH •j t,` ± i". is E ?... O.... 28543-30i!:`;
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
•..'., PLAT
NAME= r i{ 'i•iMO s•(jWNSI 'I..
BLOCK:::: LOT= ZONE= UR -3.5 DIST*=
OWNER= WILCOX, D.... r•.f. 509 ....
4 763(Ei
STREET= i1006 E 25TH AV[�:
ADDRESS= Sj%OKAiii::. WA 99206
CONTACT NAME= DEAN WILCOX PHONE
BUILDING SETBACKS: FRONT= NA LEFT= N t..± RIGHT= �1 ±q t REAR= NA
;.: ;. s<.: •.:: s •..:: '.:::::.:.:.:. x.: (.::::.ji.::: -.: y..ij..i;.: •. ;.: j.::.:,:.
t-. fi.:•. ,: t+. 1+..+..+. #. #. #.:•. ,.:.. }. It It .. Il #. 7..... T '1t 1. 1. 7,
SEWER P•R1t9+i �+.' •�$ •Pi 'P: �#r 'Pi '3ti :ni :+i :+i 'li: a- �H: 4+i $i• �ti• ar a• ai �#r �tt i'!i ;+i i+!• �i+r �?+r -t}• ai •fY
CONTRACTOR= OWNER F?H3NE::::
ITEM DESCRIPTION QUt •,Nit ;' r E E AMOUNT'
PROCESSING FEE Y i%00
P.:•.:t A i+.:!. ?+.:+.:-. #. 7.:. ,+. 7S H .+. ,5. s+. #. #: R' •Jt 1. ,. It 7. J. R ?t t. #.
PAYMENT S " a1
PAYMENT DATE RECEIPTO PAYMENT AMOUNI
TOTAL DUE:::: TOTAL PAID=
,
{:'st:-s:;•;�:" 11 AMOUNT i t i ,. AMOUNT t.!t,.!.. f•;,
1::.:. ,.... :.... .:
SEWERPROCESSED BY; WENDEL, GLORI('4
PRINTED BY: WENDEL, GLORIA,
STUB AN—BUILT INFORMATION IS AVAILABLE AT THE .... [...a..!i.!N''
UTILITIES DEPARTMENT
.•v^.:r•y.
CONTRACTOR
4 i -_ ;: OR APPLICANT
'`{1_Paj IS TO FIELD {OCe+I• AND Ca ; v ri t "
T
i :*
ELEVATIONizTI„r :, POSITION
rSi,{OF SEWER s} T»1TO ANY OTHER
EXCAVATION
TO ± t... '..::.: r•± i ;... BURIED CABLES, is A ::} PIPING, WAl::. LINES, E..{..
CALL BEFORE YOU !J . t..v (456-8000)
SEWER S { ?..! B t ` !••3 t•', t:. TO BE CHECKED
PRIOR
UNOBSTRUCTED ': 3 1 'TO
CONNECTION ±tINSURE
; ;.r :;: � "J i{THE SEWER ;q;y
lerALi... FOR INSPECTION EON E:R.t.OR TO C5..!`„'E{.;
):' I` -r •fiC 1t• 1 •/}r )+i 9.• fF
24 f i ;.! U” e V+ { .±. {_• t... REQUIRED
: • .. .
.!S5 ....., ;6is f•!•? 'Fk 3t' •A• :.-'te' •Y 'll' 'R: •}t •7=:
... .............................::.::.::.::::: •.::.:.,: ';.::.: , .: j. 5..:,{.:+i:
""
YOU t )>.• :#r i+t• Jt jr"•+i %t ti..;j. 1+5f 'F+i "t• 3 a •i`r ?�1 f' )t• ?t• Pr )t; f!..}?• it• 9; ;i 3fr"r !7=i :+r :` 2•
t..l
!.,
Project
Address:
Dept:
Dept. of Bldgs.
PION
i111 11 i,
f2=
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CR P
Road Plans/Improvements
Bonds_ --
Bonds _-------------------__.�r_� _ _ ._
Double Plumbing----------------
U
lumbing_____--_ —
U L I D _ _
THISSPACEFOR COMMERCIAL PLANSTRACKING, CERTIFICATE OFOCCUPANCY ONLY
Date received for C/O processing:
Temporary C/O --
Office file review by:
Filed Insp finaled by:
--------------
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:__�----------_—--
No response from owner/contractor - plans destroyed:
_�. Plans pulled for final processing:
. Certificate of Occupancy issued:
Date:
Date:
Received by:
NMI
a