1991, 03-13 Permit: 91000484 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 Sokane County to proceed with processing. In additionI have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comth same.All provisions of laws and ordinances governing this type of work will be complied with whether s °"
herein or not.I understand that the issance of this permit/aplication and any subsequent inspection approvls 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= 91000484 ISSUED PERMIT DATE= 03/13/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11318 E 26TH AVE PARC2854i -33i5
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
RLAT4= 00 1393 PLAT NAME= KOKOMO WN%
BLOCK= 33 LOT= ZONE= AGSUB DI%TO= F
AREA= OOAOOOOO F/A= F WIDTH= 1O0 DEPTH= i30 R/W=
4 OF BLDGS= 0 DWELLINGS= i WATER DIST =
OWNER= JOHNSTON, DAVID L PHONE= 509 926 9871
STREET= 11318 E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%ON PHONE NUMBER= 509 924 6077
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= . II CONSTRUCTION PHONE= 509 924 6077
STREET= iO504 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 RECEIPTO PAYMENT AMOUNT
03/13/91 1196 50.00
TOTAL DUE=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 SHAT TO
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 (45"-8OOO)
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 Bidgs.
Special Insp..Final Report
Hydrant( )
Lock Box
• -
Engineer's RID/CRP
Easements': . . .—
Road Plans/Improyements
Bdnds , •
•
. .
. .
. .
Planning_ . Bonds
' • •
Uhhties
. . .
. .
. .
Double Plumbing
ULD _
— —
Other
. .
. •
. . .
. • . . .
THIS SPACE EO F1 COMMERCIAL.PLANSTRAGkING,..CERTIFICATE OF OCQUPANCY ONLY
. . . . .
Date received for C/O processing: • Plans pulled for final processing:__ . _-
Temporary C/O issued: ' Certificate of Occupancy
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: Received by:
No response from owner/contractor-plans destroyed: