1991, 07-08 Permit: 91001141 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER:::: 91001141 ISSUED PERMIT DATE:. 07/08/'9i PAGE:::: 01
xx*************x**•********3 PERMIT INFORMATION *************** •*****• ai•xac•;t*
SITE STREET= 11 0i i E 26TH AVE PARCEL..:-: 28543-3023
3
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE.
BLOCK= 30 LOT= ZONE= AGSUB DISTw= F:.
AREA= F/A= WIDTH= DEPTH= R/W=
m OF BLDGS= DWELLINGS= i WATER DIST =
OWNER= BETHUNE::, A PHONE= 509 922 8233
STREET= i 101 i E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT hay• ** :****• ** *** •:x• A* :• ** •• •
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F�E^E. _�____._.___ 10.00
SEWER CONNECTION i 40.00
******** ** **********3 * **** PAYMENT SUMMARY **************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
07/'08/91 4469 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 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 ANI) CONFIRM THE
El._E.vATTON AND F`OsIT70N 01= 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
*** •* • * CALLFOR INSPECTION PRIOR "10 COVER ••r�* •* •3* *
•x•�t*** • * '. 4 110118 NOTICE REQUIRED •at•ie •a • • ri*
:•*•u****** 456-3604 *#•n:•a*•h:•n:•ii•ii•k
. ' 111 *•**•**fit•***•***7t)h*** •ri**iE*•**34.9E**•9f•*it•'a•
riii�i•h:•�•'r.••'r.•i�3i•n•its!•�!•3r�•h•�•�•�ririE��a�ririr#it•i?•irit•# THANK Tei... ...
SPECIAL O ! 1ON CHECKLIST
Project
Address: Project# — Use: — -
Dept. l Date: Condition:
Init: Appr:
(in) (out)
Dept.of Bldgs,
— _-_- Special Insp.Final Report
-__-- _-- Hydrant( ) —
- Lock Box_-- -__--
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..:_ - t-:k-}••' -.4-.9 .t j,. +._::.. �'.'�:tt'.-ii:=1;- L1 1.r.. .� !. (. ti•rt'
Engineer's _.-_.. . . _--_-. RID/CRP
Easement4T-
Road Plans/Improvements_._____.
( ..'i pill !1 il '.(F t! ti'3> i :�;' ' S; 9 :
Planning__ Bonds
j'
.., .; . . .. .t{. .;:. t+ 't., ". �::, •, t. r. !.,.p t ,:1:• ..':%' -- - .. __'�! ..:!{ ..�+t .. '( :t{�t{ t !i a7--' .. ___.
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tlt�iities Double Plumbing
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Other
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xxax.<x"x rrr x xxRxRx .a+xa.:.wx+t :THIS, ACE FOR CCMA1lERGIAEIRCFAVS TRAdKING; E. ., OCCJPAVCYCNL�' "i xxaxx+.xs.rtxx-+s+s+i+.xezrxes:>•
Date receivedjar 0/0 ocessing :L w Pi3ls purled Etat flnat p'rbcesgtr4q
Temporary CTC issued.., � �_____�: .: _�. a Ce ttt1aa e`df Ogcupen y issuedf:�__
Office file review by: _ — • Date, —_
Filed insp finaled by: -- Date __--
Ninety days after C/0 issuance:
Owner/contractor called regarding the return of plans -- __-- -- -_- Date
Plans returned: Received by: __--
No response from owner'contractor-plans destroyed