1991, 03-22 Permit: 91001294 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vo,nfymut/hu,00xom."oom/owrm.uunn//oaoon.ututommmo/nm,muvoncontumoomnvououum/«oouvmoonnvagentmoumnn000mpermit/application is true
and correct, andauthorize S ^a County to proceed with processing. In additionI have reaand 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= 91001294 ISSUED PERMIT DATE= 03/22/91 PAGE= Oi
************************ *** PERMIT INFORMATION ****************************
SITE STREET= 1121-6 E 28TH AVE PARCELO= 28543-4218
Al. DRE%%= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** %EE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
SiBLOCK= 42 LOT= ZONE= SFR DI%TO= F --
AREA= OOOOOOOO - 'A= F WIr:-!,1= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= RINALDI , PETER PHONE= 509928 8917
STREET= 11216 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TOM WILLIAMS PHONE NUMBER= 509 926 9378
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
SERVICE PHONE= 5O9 926 9378
CONTRACTOR= TRWBACKHOE %E =
STREET= 11223 E 18TH AVE
ADDRESS= SPOKANE WA 99206-O000 i -
- -
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10 .00
SEWER CONNECTION i 40 . 00 ' '
******************************* PAYMENT .SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
03/22/9i 1467 50 . 00
TOTAL DUE=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 : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-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 %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LO ATE BURIED CABLES, GAS PIPING , WATER LINF%, ECT.
CALL BEFORE YOU DIG (45 '
-8000}
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T C D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
****** *********************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: -_ Project# Use:
•
Dept: Date: Condition:
Init: Appr:
----------- — - (i n) (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: ___ ti �__-- . Received by: _
No response from owner/contractor-plans destroyed:_-__