1991, 07-10 Permit: 91002668 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 moov 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= 910O2668 ISSUED PERMIT DATE= 87/10/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE ETRE ET= i0924 E 28TH AVE PARCEL4:= 28543-43O2
ADDRESS= SPOKANE WA 99206
PERMIT USE : SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK- 43 LOT= ZONE= AG%UB DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= DWELLINGS= i WATER DIST =
OWNER= CARL%ON, JAY B PHONE=
STREET- 10924 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDERTON PHONE NUMBER= 509 994 4238
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= A PLUS CONSTRUCTION PHONE= 509 922 4594
STREET= PO BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y i0.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/10/91 4567 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O .00 50.00 . 00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
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 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 CONDITIONCHECKLIST
Project
Address: —_-- Project# ____.---_____w _Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of BIdg5.
�___.___ Special Insp.Final Report__—
Hydrant( )
Lock Box--
Engineer's _-- _-- RID/CRP. .
Easements_
Road Plans/improvements— ___.__
•
Planning__ Bonds
Utilities � __-- ._ _ Double Plumbing
ULID
sa. sr
Other_.
•
,.*....-,<>....>, .....<__r„ -THISSPACEFORCOMMERCIALPLANSTRACKING;CE,RTtFI,CATEI.O.FOCCUPANCYONLY`:**'—'**'**`"********°.,..,
Date received for C/O processing: ______•:.Plans putted for finat:proce'ssing.
Temporary CIO issued.____ _ _ Certificate of Occupancy
Office file review by.- •._ _ . . Date.
kiip insp finalsc# bY Date:
Ninety days after CIO issuance.
Owner/contractor called regarding the return of plansDate.-__-_-.
Plans returned: __.__. Received by. .
No response from owner/contractor- plans destroyed