1991, 08-06 Permit: 91002213 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 permit/applicationis true
and correct, and authorize Sokane Conty 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,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= 91002213 ISSUED PERMIT DATE= 08/06/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10808 E 25TH AVE PARCEL4= 28543-2908
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
= = ZO = AG%UB DI%T�=
�REA= F/A= WIDTH= DEPTH= R/W= 60
4 OF BLDG%= DWELLINW%= i WATER DIST =
OWNER= RAINWATER, KEVAN PHONE= 509 924 6869
STREET= 10808 E 25TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON SLOAN 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 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
----------
PROCESSING FEE Y 10.08
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/06/91 5374 5O. 00
TOTAL DUE=DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 58.00 . 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 IS 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 *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: _-- Project# __Use: —_—_ T -
Dept: Date: Condition: 'nit: Appr:
(in) (out)
Dept.of Bldgs.
-----__- Special Insp.Final Report __
_________ __ Hydrant( )
________ — Lock Box-_- ---
Engineer's-_—___— ____-_ _ RID/CRP
Easements,,..• I
-___ _____._ Road Plans/Improvements
•
Planning— , .. — Bonds_ :.
Utilities-- — Double Plumbing_
ULID Y
Other
•
•
.
•
THIS SPACE FOR COMMERCIAL PLANS TRAGKING;CERTIFICATE OF OCCUPANCY ONLY******°"°"""""*""*'****
Date received for C/O prooessingi Plans,pulled.for fi'na(processing:
Temporary C/O issued Gertrficateof Occupancy issued`. ________________
Office file review by: . Date: ,: _ ..
Filed insp,figaled.by: __ : Pate:__ :, ._—_ _v _
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: __._____- Date:
Plans returned: _. ______________ Received by:.
No response from owner/contractor-plans destroyed: ____.—__.___—___ --__-- ---_-- _____________