1991, 05-02 Permit: 91002267 Sewer NoOMIUMMIMMMMoi. IMO NON
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 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction. ,
SIGNATURE OF + ! EICATION
APP
OWNER OR AGENT 7
PROjECT NUMBER- 91002267 ISSUED PERMIT DAH7= c.:.;5/0.2Pn
t•.J,R•}..P;`e?•9+::?....J?..:?..};J?R,.J}...t-.!F j;.)+..}'r r..... .....:f`":.-. .i'•i a'i..{E•-.... . .i.0 i`:
SITE STREET...: 11209 s.. 25TH AVE ,•`}-: ;.'..,!_.?
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — NORTH KOKOMO
... ;: ...; ; 4.... 001393 PLAT NAME., 1'[•.l._i 1`•.-i:.i i`#i,l 'i S_jtxj Ne:;.1.
TE ,
i :8
OF BLDGS- 4 DWELLINGS= f WATER DIST -:
OwNER= muRPHI , G PHONE= 509 924 9240
25TH- AVE
: STREET= 11209 E
:D.;R:._:.::.:.._ SPOKANE WA 99206 . -
CONTACT NAME- KEVIN HOLTEN' PHONE NUMBER= 509 926 9007
BUILDING SETBACK'S : FRONT= NA a A , NA REAR- NA
:!:•P:-!:.vY x[:::'k ;t'::•}:•R::k rt;t t$'r!.t;.;3•. r•. ,?P. :[:'t'; SEWER PERMIT '••Jl:.t..n:J;:.t?..&'i?J!:':9k.}i.•;�:;!;:•}.*•iti:9[i.*.R'ii!:2 fil 'Aii a:'}i Fi«t:t}..j..
ADDRESS- PHONE.. 509 926 697a
STREET.. 11704 E aTH AVE
WA
99206
ITEM
v, :::.. : R , ,.i..
QUANTITY FEE AMOUNT
•
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PMMENT AMOUNT
TOTAL DUE., .00}
TOTAL 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ,
SEWER PERMIT 50.00 - 50, 00 .00
50.00 50.00 ,00
PRINTED BY : WENDEL, GLORIA
SEWER STUB; 3 .....iii-[ 3.l... {•- INFORMATION _.... -. ..-.. AT -...
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
nOAVATION
TO: ;..i_ii.,:5.4 iis:. {:i _i._: gatPIPING, LINES, ECT ,
BURIED
CALL BEFORE
YOU,
`
SEWER PRIOR
: : CONNEOTION [
Th INSURE
THAT THEY E CLEAR : t UNOBSTRUCTED it . : mArN
:g: f:*****§:k CALL FOR INSPECTION PRIOR TO COVER *Y:Y:K),',:k*KK,),.:
.I,.9'•:9B;:«+:7!:7C't';T: s.:' HOUR REQUIRED
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s:. .j(.:r:1p•.:t*s sf. - 456-3604.... Jk i!i i. r•.K•ti :-R• .:.
.:.. [ .. .J..y. . ..},....L..tJ , t [ 3..y... .1.� ,:-; ; 3p ! [ } } } THANK Y . « «¢a!i«&«'i!!. ........................:. .}i 3?{+. ......r
SPECIAL CONDITION CHECKLIST
Project
Address: -____-- —_.-- _-- Project#—_ ----.—�Use:
�----------
Dept: Date: Condition: 'nit: Appr:
(in) (out)
Dept. of Bldgs. _._—__._-__
_______ ________-_ __- Special Insp.Final Report___ —_____--------_----------__-__
-- .------ — Hydrant ( )
--- — — — Lock Box— — — - --- _ — — —
Engineer's____ --.______ RID/CRP .—__
-- —
Easements ——— —
----- —_ Road Plans/Improvements__--_- ----__�__-- ---_
Bonds
Planning___ _ — Bonds
Utilities_ -__. _ — Double Plumbing_.
— _ U L I D
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 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: __ _.___-___