1991, 08-05 Permit: 91002537 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= 91002537 ISSUED PERMIT DATE= 08/05/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10914 E 26TH AVE PARCEL4= 20543-3521
ADDRESS= SPOKANE WA 99206
PERMIT U%E= rEWER CONNECTION - SOUTH KOKOMO
�
-*** %E�-NO . �'***--CONNECTION ��� ��� ��
PLATt= O01393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 35 LOT= 819 ZONE= AG%UB DI%T4=
AREA= 0000000O F/A= F WIDTH= DEPTH= R/W= 70
� OF BLDG%= i 41. DWELLING%= 1 WATER DIST =
OWNER= LINCOLN PHONE=
STREET= 10914 E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 0964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & CONSTRUCTION PHONE= 509 926 8964
STREET= 118i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
08/05/91 5293 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.08 .00
------------- ------------
50.00 50.00 5O.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
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 HE D 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: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report -----_.____--
Hydrant( ) -- --- —._.
Lock Box �__ —__-_ �_---- — -------__
Engineer's. RID/CRP .
Easements
Road Plans/Improvements—
Bonds __
Piartn,in _. • :_ tondsL_
•
Double Plumbing
DUD d_
Other.
`"`*"'"*""***"***"`"""*""**"*THIS SPACE FOR COMMERCIAL PLANS TRACKING,'CERTIFICATE OF OCCUPANCY ONLY***—**°°"""***—**********'"
Date received for 0/0 processing ` :: . Plans pulled for'final protesting
Temporary 0/0 issued _____-- T_ :°.Certificate.of Occupancy issued:_._._ ^_ _•
Office file review by: __. _ • . Date:.._ _--•
Filed:ir�sp Jingled fs e , Gate:
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