1991, 05-28 Permit: 91002246 Sewer.^°
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
0C1303 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 Snxuno County to proceed with nmoossmn 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= 91002246 ISSUED PERMIT DATE= 05/28/9i PAitE= Oi |
**************************** PERMIT INFORMATION ******************* ****** *
TE STREET= 1i006 E 28TH AVE PARCELO= 28543-430i - - '
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO 1
*** SEE NOTE ***
PLATt= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= 711Nr=
AREA= F/A= F WIDTH= 8O DEPTH= 125 R/W=
4 OF BLDG%= 4 DWELLINGS= i WATER DIST =
OWNER= MAIER, GLEN PHONE= 509 924 0339
STREET= 11006 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDERSON PHONE NUMBER= 509 924 5595
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 994 4238
STREET= P O BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00 `•
******************************* PAyMENT %UMMAR; ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/28/9I 3231 50^00
------------
TOTAL DUE= .00 TOTAL
PAID= 50.00 '
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------- |
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O. 00 50.00 .00
PR8CE%%ED BY : WENDEL, GLORIA
PRINTED JULIE %HATTO
SEWERSTUB A%-BUILT INFORMATION I% 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 CARLE%� GAS PIPING, WATER LINE%, ECT ,
CALL BEFORE YOU DI1.1 (45(:)-8OOO>
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T D Ti THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3664 **********
******************************** THANK YOU ************************** **** *
SPECIAL CONDITION CHECKLIST
Project
Address: — __ Project# Use:
Dept: Date: Condition: 'nit: 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,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: _________ —_— . Date:
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: ___—