1991, 05-02 Permit: 91001407 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=
r ISEUED . PERMIT DATE= 05/02/91 RAGE= 01
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109-23
. ADDRESS= SPOKANE WA 99206
I::i:: M x t - xr `tt _ i ai ) " SOUTH . < " )
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PLAT4= 001393 A.':, •vj't}`}',••• KOKOMO TOWNSITE
AREA=t 00000009 WIDTH= Inj»::
70
r• OF f:i i....t.!s:i::>-_ i DWELLINGS= 't
WATER D.i,:': !
JIM PHONE=
Y. ..
10923
26TH AVE
ADDRESS= SPOKANE WA 99206
t.:t..iN i '!t.: i iifyi"iC:.::` 3,3.is i .ELG:Oi:; PHONE NUMBER=E 509 .'.';
6077
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BUILDING SETBACKS : FRONT= ,+i.¢ i...!::.3" i NA - RIGHT= ^j(.:{ REAR=
NA
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CONTRACTOR- :.!:.Ri. CONSTRUCTION .•E..i........- ....'r 6077
STREET— 10504 E VALLEYWAY AVE
ADDRESS= ,E:.
1TLm DESuRIHITON QUANTITY FEE AMOUNT
rixOi—EssiNG 1-EL 10.00
SEWER CONNECTION 40.00
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PAYMENT !![ i !.. i'L:i::.1,•i::..i.E t •N' PAYMENT AMOUNT
05/02/91 2514 50 ,00
TOTAL DUE= ,00 TOTAL PAID= 50 ,00
- HERMIT TYPE FEE AMOUNT AMOUNT PAIDAMOUNT OOWING
, SEWER PERMIT 50,00 50,00 ,
50,00 50,00 ,00
PROCESSED BY,: JULIE I„j
PRINTED ;;i Y : j t..!1....i.I::. ''H{-:t i i O
SEWER STUB AS—BUILT INFORMATION .;.., AVAILABLE AT THE COUNTY
UTILITIES
i1 RTO; OR APPLICANT : : ! - FIELD O :fTE i rCONFIRM
:
HE
ELEVATION AND POSITION OF SEWER STUB :t ! O? TO ANY OTHER
TO LOCATE —BURIED O t.P{LY'S! 9i' PIPING, WATER LINES, FC..:.„
f t i t.:. r j”ORE, YOU !.i. ._ , ,!A56-8000'Y
6•,..B0Oia i
,'t; t i;.rK STUBS ARE BE CHECKED I'i TO CONNECTION TO• ...
THAT
i" t THEY.
It : . :i CLEAR ei. UNOBSTRUCTED
Niaot + : ? : o . - SEWER MAIN
" i '
. tP0.iiRRHCALL FOR INSPECTION PRIOR COVER fPPt. " P :
XX7 'nk + . 24 HOUR ` i ! L
REQUIRED *****K****
l a':'!:*'Pi Pr•H•1!r 1!i 456-3604 ....
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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----_—__ — ___ ____ _______ _
Planning__ Bonds_ _--- .---. __-- ----- ---- - —__--
Utilities —_ — Double Plumbing_
_— — w-- — U L I D
Other — — --------_._.—____._--- -___---
—*************************`**THIS SPACE FOR COMMERCIAL PLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY"* *"*`" '*`*"" " "
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: . _--- --------.---
---__ _ -- _---------- ------- ------------.Receivedby: -
No response from owner/contractor-plans destroyed:________________ --- -- ___-_ __________._