1991, 07-18 Permit: 91004300 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/certify that/have examined this nmmn/annncuoon.omtomunxomm,mununvnnmmvumxand,uummouuvmoonnv�eotmvomnnooump permit/application true
and oomm and amonzoSpokane Cowm 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/apon and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give vm n to violate or cancel the provisions of any state or localaw regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF '
} U «�^ IF TO
OWNER OR AGENT /L ^ ^ APPLICATION 9 /
DATE / ��
'
. '
PROJECT NUMBER= 91004300 ISSUED PERMIT DATE= 07/18/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11324 E 28TH AVE PARCELe= 28543-4i23
ADDRESS= SPOKANE WA 99286
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 4,1 LOT= ZONE= AG%UB DI%T4= ` F AREA= 00000000 F./A= F WIDTH= DEPTH= R/W=
4-i, OF BLDG i DWELLING%= i WATER DIET
OWNER= HERRING, DENNIS PHONE= 509 926 9262
STREET= 11324 E 28TH AVE
ADDRESS= SPOKANE WA 99286
CONTACT NAME= HOLTEN PHONE NUMBER= 509 926 9064
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
************ **************** SEWER PERMIT ******************************
CONTRACTOR= HOLTEN K V PHONE= 509 926 6978
STREET= ii7O4 E 8TH AVE .
. ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION t 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/18/91 4809 50.00
TOTAL DUE=DGE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
50,00 5�.�� .O�
^
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IJ AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-36O4)
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 WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR ANDAJNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK ;OU ********************* ***********
•
SPECIAL CONDITION CHECKLIST
Project
Address: _..—___—_-- = �.__-_Project#- -------____-- -_ —.__Use.__-- --
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
_____________________ _ Special Insp.Final Report_.__ �.
--- Hydrant( )
________________________ Lock Box
Engineer's RID/CRP --_--
__----_ _ Easements
__—.— —__ Easements_________ _ _----_._-- --- --- ----_—_-- --____-- —. .--
Road Plans/Improvements--_—_.-- -----_.----_-______--
________ — Bonds___
Planning Bonds
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:___________„__