1991, 03-13 Permit: 91000713 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said p /u n n is true
and correctand authorize Sko County to proceed with processing. In additionI 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= 91000713 ISSUED PERMIT DATE= O3/13/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10919 E 27TH AVE PARCE28543-3511
ADDRESS= SPOKANE WA 99206
PERMIT USE SEWER CONNECTION - NORTH KOKOHO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 35 LOT= ZONE= UNK DI%TO=
AREA= 00013000 F/A= F WIDTH= 130 DEPTH= iOO R/W=
4 OF BLDG%= i 4 DWELLINGS= WATER DIST =
OWNER= KELLY, DANNY L PHONE= 509 838 361i
STREET= 10919 E 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%ON PHONE NUMBER= 509 924 4077
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR:::: R. II CONSTRUCTION PHONE= 509 924 6077
STREET= 10504 E VALLEYWAY 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 RECEIPTO PAYMENT AMOUNT
03/13/91 1200 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50,00 5 50.O0 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITTE% 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 (456-8000)
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: 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
ULID_ -- —
Other. --
•
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTLFICATEOF OCCUPANCY ONLY"'"°°""******"**""*****""'"
Date received for CIO processing: _ Plans pulled for final processing: _ ----------------- --
Temporary C/O issued Certificaig.pf Occupancy issued:
Office file review by: ,_,: Date:
Filed Insp finaled by _--_ .__.u— __-- — _. 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: ___ ---------._---------------------