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1991, 03-08 Permit: 91000975 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W.7363 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 Spokane County 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 construction. �/J SIGNATURE � i"1 ""C.�'i%C.�.•--� APPLICATION "Z --'$ y/ OWNER OR AGENT DATE PROJECT NUMBER= 91000975 ISSUED PERMIT DATE= 03/08/91 PAGE= 01 ***** :•*****3**************** PERMIT INFORMATION , ***************arR********* SITE STREET=: 10707 E: 28TH AVE PAR.CEI_.•e= 28543-3708 ADDRESS= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION FOR RESIDENCE/ SOUTH KOKOMO *** SEE. NOTE. *** PLAT• = 001 393 PLAT NAME= KOKOMO TOWNSITE BLOCK= 37 LOT::: 13 ZONE= UR 3.5 DIST:H== F AREA= F/A= WIDTH= DEPTH=:: F,/W=•: OF BLDC;S::= 4 DWELLINGS= i WATER DIST = OWNER= WHITING, GEORGE PHONE= 509 926 0797 STREET= 10707 E 'BOTH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= HOLTEN BROTHERS PHONE NUMBER= 509 926 9007 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA ******************•*********** SEWER PERMIT ****************•***•ki•******:**•** CONTRACTOR=:: HOLTEN BROTHERS PHONE== 509 926 6978 STREET= 11704 E 8TH AVE ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION QUANTITY FEE AMOUNT -------- PROCESSING F E E: Y 10.00 SEWER CONNECTION i 40.00 *****R*********************it•*3k* PAYMENT SUMMARY *****•******.k.* **********•;r*** PAYMENT DATE RECEIPT4 PAYMENT AMOUNT 03/08/91 1120 .50. 00 TOTAL DUE= .00 TOTAL PAID:- 50.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 50.00 .00 50.00 50,00 00 PROCESSED BY : JOHN LARSON PRINTED BY : JOHN LARSON SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPL..I CANT IS' TO FIELD LOCATE:: AND CONFIRM THE ELEVATION ATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.. CALL. BEFORE YOU DICE (456-8000) SEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO INSURE: THAT THEY ARE. CLEAR AND UNOBSTRUCTED TO THF SEWER MAIN *****•*** ( AI...i_. FOR INSPECTION PRIOR TO COVER ********** ********* 24 HOUR NOTICE REQUIRED ********** **m:*:**•*** 456--3604 •:********* ******•************************** THANK. YOU **•******************************* SPECIAL CONDITION CHECKLIST Project Address: __.-____-_ Project# _Use:_ _ Dept: Date; Condition: !nit: Appr: (in) (out) Dept. of Bldgs. -___--- ---- ------------- ____— _— _ _ _— --.-----__--- -__ Special Insp.Fina! Report _�— Hydrant Lock Box Engineer's .RJDLCRP• Easements- Road Plans/Improvements Bonds iL.ii ";'::•.`i .f Planning, Bong .— ..is e�� ,• : : Utilities.___--- — Double Plumbing_ — — ULID Other .. ... 7.5 .... ....>.,><,.>"*.>{...._*«THIS SPACE FOR COMMERCIAL PLANS''-RA:OKING„'CERTIFICATE OF OC'C.I)PANCY ONLY'•••r—**`***—************—*** { Date received for C/O prdcessing " flans putted;far f€naf,.processing Temporary C/O issued C,etthficate of 1:15cupancy issued! • Office file review by :„ Date Filed insp finaled.by Date: Ninety days after CIO issuance: -- --------------- --___ Owner/oontractor called regarding the return of plans:___.__ Date:---_-------------._____------_-------_----___ Plans returned: .—_. .Received by: -----------------------_-__- No response from owner/contractor-plans destroyed:. —_------__.--- _._ ___.___---------_--_---____-_