1991, 05-28 Permit: 91002247 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
HV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON SS260
(509) 456-3675
1 certify that I have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to corn pile said permit/app ncanon/,true
u correct, and authorize Spokane County to moo « with nmoessmu In ammnun / have read and understand the /wnpsCTmw nsoumsmsmro/wor/os
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 ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions ofany state or local law regulating construction, oras a warranty of conformance with the provisions ofany state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OnAGENT oxTs
�
�
�RGJECT �U�BER= �i��2247 I�%UED PERMIT
V. O5/28/9i �A�E= Oi
**************************** PERMIT INFORMATION ******** Ac. ******************* �
%ITE %TREET= iiOiO E 2885�3-43i6 -'-
ADDRE%%= %POKANE WA 992O6 � _ -
PERMIT U%E= %EWER CONNECTION - %OUTH KOKOMO
*** %EE NOTE *** -
'
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PLAT�= OOi393 PLAT '.7 KOKOMO TOWN%ITE
�
' BLOCK= LOT= ZONE= UR -3.5
AREA= - F/A= F WIDTH= DEPTH= R/W= 7O
4i: 1- BLD�%= i � DWELLIN�%= i WATER DI%T = MODERN
=% N I PHONE= �
rf���� 4 J 4
�� � ��T� �V� �
�=
u�xAN� WA 992o�
CONTACT NAME= %TAN ANDER%ON' PHANE NUMBER= 5O9 922 4594
BUILDIN� 'K, �
***************************** %E^ER PERMIT ****************************** �
CONT O EN V I U D 1.,C PHONE= 5O9 994 4238
%TREET= P O B8X 14i557 -
ADDRE%%= %POKANE WA 992i4 — —
ITEM DE%CRIPTION QUANTITY 1C,
-----=------------------- -------- .... ........ ... ...... .... ... ........
PROCE%%IN� FEE Y 1O.00 � Q
%EWER CONNECTION
******************************* PAYMENT %UMMARy ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
`
O5/28/9i 3232 58.00
------------
'
TOTAL DUE= .00 TOTAL PAID= 50,OO '
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
--------------- .... ... .... .... ........ .... ... .... .... ... ... - ------------ .... .... ... .... .... ... -....... ...... ........
%EWER PERMIT ... O.00 5O.00 `OO
.... .... .... .... -.... ... -.... .... .... .... .... ------------ .... .... .... .... -.... .... ......... .... .... .... ....
5O.00 5O.00 .00
PRGCE%%ED BY WENDEL RIA
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17 j) BY JULIE ^HATTO
%EWER %TUB A% -BUILT INEORMATION I% AVAILABLE AT THE COUNTY_
UTILITIE% DEPARTMENT(456_36O�)
CO T A T R OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVA�ION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATEBURIED C�BLE%| �A% PI�IN1 WATER LINE%, FCT.
CALL BEFORE YOU DI� (45�-80OO) '^
%EWERARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY AREU.
ARAND %TRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTIQN P IOR TO COVER **********
********* 24 ROUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************
`
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date
Project
Init:
(in)
Special Insp. Final Report
Hydrant ( )
Lock Box _---
RID/CRP
Easements _
Road Plans/improvements
Bonds
Bonds
Double Plum
ULID
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY "'*
Date received for C/O processing: Plans pulled for final processing:
Temporary CIO issued:— Certificate of Occupancy
Office file review by: Date: — -- --
Filed insp finaled by:.— —. Date: _
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
Received by:
Date: