1991, 08-05 Permit: 91002539 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 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,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= 91002539 ISSUED PERMIT DATE::-- 08/05/91 PAGE= 1:j
*3i•3t•3e*3r**3i •3i•*3i'3i•3i•**3k3i•3i•3i3t•*3i3'3i**• PERMIT INFORMATION * ' x* •***• * ** ***********
SITE STREET= 10722 E 26TH AVE+, F'ARC::E::I_.O= .2.854: � '3
ADDRESS- SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION »- NORTH KOKOMO
*** SEE. NOTE ***
FLAT ::= 001393 PLAT NAME-: KOKOMO TOWNSITE
BLOCK= 36 i...OT= ZONl.:- AGSUB DIST: ::::
AREA= 00000000 F/A— F WIDTH= DEPTH= F./W=:: 70
OF BLDGS= 4 DWELLINGS= I WATER DIST -:
OWNER= BARNHART PHONE=
3TREET== i 0'7?:' iI 26TH AVE
AI)DRF.SS:=: SPOKANE:: WA 992.06
CONTACT NAME== LEONARD PHftt'JF NUMBER=R= ,O9 926 89:.4
BUILDING SETBACKS : FRONT== NA LEFT= NA RIGHT= NA REAR= NA
* ;*3i>t*3i•*3r3i•*'A•3;•:a*3i•3':3i*•3:•*. **•**3i** SEWER PERMIT 3i' •** a•*#*34•hi*•a•k*3i••'a: :•***3+:a•h:3[****
CONTRACTOR= H 1 S CONSTRUCTION PHONE= 509 9 '6 896
STREET= 1187 E 'ALLEYWAY AVE"
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10..10:1
SEWER CONNECTION i 40,00
3E*3t3(3i3':#3':•*.•3i'..)*R***•N3t3i*3{*ii*3i•*3 ** PAYMENT SUMMARY *3e •*3i3i•to****3iii3ih3•:3i**•h:'*3i'*: *3i'3i•3t
PAYMENT DATE RECEIPT„ PAYMENT AMOUNT
08/05/9i 528 50 . 00
TOTAL. DUE:::: ,00 TOTAL PAID:::: 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 50,00 00
50,00 50,00 ,00
PROCESSED SED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS—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 STUD PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.,
CAI...L BEFORE YOU DIG (456-8000)
SE =iER STUBS ARE TO BE CHECKED) PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER R MAIN
3e3i3;••*****;t CALL FOR INSPECTION PRIOR TO COVER 3w•x3t3k*3t• :3t•A:
3e3i3i•3?•3i3E36** 24 HOUR NOTICE REQUIRED 3F3E3i•3e•*3i363r#3E
•b:#*3,;3i3i3i•*3i• 456-3604 3i**3k****3t'3{•
3':•**3t** k•3Sa*3i3i•3i?i*3i:ii3E***3t•#3i3i'*3E3i3i3i* THANK YOU 3c3t•3!•**3i'*****ii•3i•3i*****3i•*3i3c#i**3E*•N*3i'3«ri•
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. ____ -'-- :f3tllld5_
•
Utilities-- —._ Double Plambing.
ULID •
Other
•
**"'*"*`*""°"``THIS SPACE FOR COMMERCIAL PLANSTRACKING;'CERTt tCATE'OFOCCUPANCYONLY'4****************************
Date received for CIO prclodssing• 131an$.'pulled"fde find prose sing -
Temporary C/O issued ,
i:c CrtifioCBtepf Occupancy Issued
Office file review by: __. - __. __--_-- . Date: "
Filed•insp finaled bt. m ., _:: ;. Data:__ + : �_� _�.. 4." .
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: