1991, 05-14 Permit: 91001866 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/uamfymat/hu,00xammoum/onmm/vunnovonon'otutematmomm,monvnvontumoumnunoouom/ttemovmounnvagwntmoomnnooamn rmit/application is true
and correctand 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= 91001866 ISSUED PERMIT DATE= 05/14/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10812 E 26TH AVE PARCELO= 28543-3620
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 00 1393 PLAT NAME= KOKOMO WN%ITE
BLOCK= 36 LOT= ZONE= AG%UB DI%TO= F
AREA= OOOOOOOO F/A= A WIDTH= DEPTH= R/W= 70
0 OF BLDGS= i 0 DWELLINGS= i WATER DIET =
OWNER= SIEPP, VINCE PHONE=
STREET= 1O812 E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JACK HAWKIN% PHONE NUMBER= 509 924 9025
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= JACK HAWKIN% EXCAVATING PHONE= 509 924 9025
STREET= 9722 E NORA AVE
ADDRESS= SPOKANE WA 99206-0000
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/14/91 2851 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 5O.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE %HATTO
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 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 _ --
Dept: Date: Condition: !nit: Appr;
(in) (out)
Dept.of Bldgs.
__ Special Insp.Final Report
Hydrant( ) -
-__ — Lock Box
Engineer's
Easements ,
Road Plans/Improvements —
____ do s
•
Planning__ — .,BO.ridS--__ --
Utilities__ _ — Double Plumbing
ULID
Other_
— —***..` `—**--**-"--*-""THISSPACEFORCOMMERCIALPLANSTRACKING;CERTIFiCAT iOFOCC,UPANCYONLY'° ' ****"** """°""°"*`"`
Date received for C/O processing; c;. .Plans pulled.tor final processing,
Temporary C/O issued .Certificate of Occupancy issued` -
Office file review by
. : .. Date;
Filed ins finaied 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: