1991, 01-03 Permit: 90006832 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
| �pOKANE,WASH|NGTON 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 prmit/application is true
and correct, and authorize Spokane County to proceed with nmnoss.no In addition, I have reaand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree tocomply with same.All provisions~'laws and~~^~^``` whether
vvn�monm
or on and subsequent''give ''th'��'�to������a���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= 90OO6832 DATE= 0i /03/91 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 11404 E 26TH AVE PARCELt= 28543-3312
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 33 LOT= ZONE= AG%UB DIJTO= F
AREA= 00013000 F/A= F WIDTH= 100 DEPTH= 130 R/W=
0 OF BiDG%= 2 4 DWELLINGS= i
OWNER= WHEATC OFT� V R C PHONE= 509 924 5247
STREET= 11404 E 26 / H AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%ON - JR II PHONE NUMBER= 509 974 6077
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ,. I CONSTRUCTION PHONE= 509 924 6077
'
% �T= 04 E VAL[EYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 .00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /03/91 43 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- --------------
SEWER PERMIT PERMIT _ 5O,OO 5O,0O ,OO
__ __
50.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THF 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 | TNF%, FCT ,
CALL BEFORE YOU DIG (45�-8OOO)
SEWER STUBS ARE TO BE CHECKEDI TO CONNECTION TO INSURE
THAT THEY ARE CLEAR NUNOBSTRUCTED TO THE SEWER *^IN
********* CALL FOR
IN%PECT0N PRIOR TO COVER **********
********* - 24 'OUR NOTICE REQUIRED **********
�
********* 456-36O4 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: ___.___ _.___ —_- Project#_.___.__---_ ___. Us :__ _---__-_------_-__---_--_---
Dept: Date: Condition: m its Appr:
(in) (out)
Dept. of Bldgs. __---_._._---- - -- — - - --- - ----------- --- -- ------- _---____--- ------_._---
---___ Special Insp.Final Report__—_--
Hydrant( ) ---
._ — -- Lock Box
Engineer's ____._-- '_. RID/CRP
Easements_ . . •
__- Road Plans/improvements •
-- ---_._. Bonds
Planning--------__. _ Bonds
•
Double Plumbing_
U L I D _
Other._._
•
•
—*** k¢.°....,....,** ****•THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY******...* '"` ---
Date received for 010 P rocessin
p g: Pians pulled f®r tinct processing T•_
Temporary C/O issued. . — _-- _ : . . Certificate of Occupancy issued:-
Office:file review by ., '__.---_-.__
---- --_�_.Date
•
_..-- _ _--- _--------_...
Filed insp finaled by: Date:._ •
--_-__
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans:--- --- Date:--- ----_----------_v_--- ---__—_--
Plans returned: —__-__--------------_-_.__ Received by:
No response from owner/contractor-plans destroyed:_---- -- --_---------------------_________-------_____--