1991, 11-27 Permit: 91005677 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
| �pOKANE.WASHINGTON 3B200
(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 withvmnmmmn In addition / 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 onAGENT DATE
PROJECT NUMBER= 91005677 I%%UED PERMIT DATE= ii /27/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11405 E 26TH AVE PARCEL0= 28543-3226
ADDRESS- SPOKANE WA 99206
4 ,
USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLAT4= 00 1393 PLAT NAME= KOKOMO TOWN%ITE
O K= 2 LOT= 19 ZONE= AGJUB DI%T4= F
4 BL
AREA= OOOOOOOO F/A= F WIDTH= 50 DEPTH= 130 R/W=
0 OF BLDG%= i -H. DWELLIN1.3%= iO WATERDI%T =
= EF I % PHONE=
%TREET= ii405 E 26TH AVE
ADDRESS= SPOKANE WA 99206 /
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 85OO |
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
1
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAY% ACTIVE PHONE= 509 922 8500
STREET= PO BOX i41562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------------------- -------- ----------
PROCESSING FEE Y . 10 ,00
SEWER CONNECTION 1 40 .00
******************************* pAYHENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
11 /27/91 9068 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 %HATTO
PRINTED BY : DOMITRGVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% 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
1 .
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG ( 456-8000)
EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOB%TRUCT D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** 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
Planning.______.____. _____ _ Bonds
•
Utilities______ .. — Double Plumbing
--- -- — U L I D
Other _ •
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""""""`"'"'"""""""'
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: _________ ---- Received by:---- ----------_-- —_.__--- _________
No response from owner/contractor-plans destroyed:_____ _— — —