1991, 08-06 Permit: 91002142 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 correctand authorize Sm, County to proceed with processing. 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 OR AGENT DATE
PROJECT NUMBER= 91002142 ISSUED PERMIT DATE= 08/06/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11412 E 26TH AVE PARCEL0= 28543-3312
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4= 00 1393 PLAT NAME- KOKOMO TOWNSITE
BLOCK= 3 LOT= ZONE= AG%UB DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 4 DWELLINGS= i WATER DIET =
OWNER= UNKNOWN PHONE=
%TREET= 114i2 E 26TH AVE
ADDRESS= %POKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 14i562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
88/06/9i 5380 50.00
•
TOTAL DUE= .00 TOTAL PAID= 5O.06
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O. 00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB AJ-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, �A% PIPING, WATER LINES, ECT
' � ' ' ^
CALL BEFORE YOU DIG (456-8000)
%EWER STUBS ARE TO BE CHECKED PRIORTO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UN B%TRUCTED 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: 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
•
•
Double Plumbing
— ULID
•
Other_...______..__-- —_--
•
" *****`"***"*THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCYONLY""'**""*""***""""*"*****—
Date received for 0/0 processing: " :Plans pulled for final processing:
Temporary 0/0 issued:. —., — Certificate of Occupancy issued
Office file review by _--___ Date:
Filed insp finaled by: Date: —w_ ----- _-:
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: