1991, 04-29 Permit: 91002165 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 Conty to proceed with processing. In addition, I 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 nstruction.
SIGNATURE OF APPLICATION 2—L1 AVY- t— 1cict
OWNER OR AGENT DATE
� - |
PROJECT NUMBER= 91002i65 ISSUED PERMIT DATE= O4/29/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= iO6O3 E 28TH AVE PARCEL4= 28544-0412
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4,= 000382 PLAT NAME= CHESTER HILLS ADD.
BL = i LOT= ii ZO = UR 3.5 DI%T�=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= � DWELLIN�%= i WATER DIST =
OWNER= BUCHANAN TIMOTHY B PHONE= 509 928 8884
STREET= 10603 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TIMOTHY BUCHANAN PHONE NUMBER= 509 928 8884
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************w %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT ' |
------------------------- -------- ---------- . - �
PROCESSING FEE Y i8.00 '
SEWER CONNECTION
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
O4/29/9i 2407 50 .00
------------
TOTAL DUE= . 00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5 .00 50.00 .00
------------- ------------
50,00 15:0 5O.00 .00
PROCE%JED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O )
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 -8000)-
SEWER (45"
STUBS ARE TO BE CHECKED PRIOR TGCONNECTION TO INJURE
THAT THEY ARE CLEAR N 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
•
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: __ W_---. Date:
Filed insp finaled by: _ — Date:_
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _ —._—_____—____ Date
Plans returned: —s__ _.__—___-- —_ —_-.--.Received by:.._—_.__..
No response from owner/contractor-plans destroyed: ______