1991, 05-14 Permit: 91001408 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 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91001 .08 ISSUED PERMIT DATE: 05/14/91 PACE== 01
i 3 **** t** r ix*ir r n r yt r t** r at * PERMIT Lr =OFM"TiOh **ri** kr##**************i ****SITE STREET= 10906 E nTH AVE F AR.CE.i...wu: 28543-4313
t h
ADDRESS= SPOKANE WA 99206
PERMIT 1IT USE:= SEWER CONNECTION -- SOUTH KOKOMO
*** SEE NOTE ***•
PLA•:== 001393 PLAT NAME=:: KClKOMO TOWNSITE
BLOCK= 43 LOT= ZONE= AGSUB r I:; T:p::=
AREA= 00000000 F'A= F WIDTH- DEPTH=:: F;;W=
„: OF FiLDGS== i :„: DWEi...i...s.NGS== i WATER DIST :
(:lWNE"Ft:=::
tIDDEr`(•H, DENNIS R PHONE=
STREET= 10906 E :*8TH AVE
ADDRESS= S 'Oi ! 99206
ANDERTON NUMBER= 509 924 5595
CONTACTNAME= �'A�( Y
BUILDING SETBACKS : FRONT= NA LEFT- NA RIGHT= NA REAR= NA
PERMIT
P*R*•It:****•R•3l�k•h..*.*.h•�:•�:R•*.*..A..jA P:3k-){,k-P::
rr•�••ye******�:*x•�•�:;i�:•�•�••;c•x x�;:A*a{�••�-;;•�:• SEWER
CONTRACTOR= ENVIROGUARD INC PHONE= 509 994 4238
STREET= P Cl BOX .141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE: 0/:.00
SEWER CONNECTION i 40.00
*k*•*•••n.•**••li •N•aYi3i•a: *•#****•*AYi*• •k3c***• PAYMENT SUMMARY •>Rx ••a••*** :•;k >!;•r:**x•***h• •gin:• :** :•;R-x-
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
05/14/91 2655 50.00
TOTAL Tilil=.:w
:.0 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 : :..ULIE SHA TT O
PRINTED BY : •JUI...IE:: SHATTC:l
SEWER STUB AS—BUILT INFORMATION IS 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
TO LOCATEy� ��^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
X•** *3 3'3 t CAL...L.. FOR INSPECTION PRIOR TO COVER *a***R••p••ir•P:*
ri** *•****: 24 HOUR NOTICE REQUIRED ***•*******
**)t•it•4l3!)tj4*•*•******•,k*h***it•*R9t•fit•i!)E*• ai THANK YOU at•*•**•*k**#***#***•****"*'k***:.fr**"y"*•*
SPECIAL CONDITION CHECKLIST
Project
Address _ _ Project# __ Use:
Dept: Date: Condition: snit: A
ppr.
(in) (out)
Dept.of Bldgs.
___._ Special Insp.Final Report
— — Hydrant( )
Lock Box
— _ -.�__ —_.—. .. •. ':_..tea.
Engineer's _.---`__-- _----- RID/CRP -__--
Road Plans/Improvements_
Planning Bonds
Utilities—_ Double Plumbing ��-
- ULID
Other
1NISSPACEFORCOMMERCIALPLANSTRACKING,CEPITIFICATEOPOCGUPANGrONLY."--°` *******"***********•
Date received tor CIO re
ocssin
� g Plans pulled fcar`final processieg
Temporary C/O issu4d + Certificate of Occupancy
Office file review by: bate.
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:_—�