1991, 05-29 Permit: 91002630 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303BROADWAY AVENUE
SPOKANE, WASHINGTON S82H0
(509)456'3675
/nom,rmEham "am mouthis p*mmunn/munon.state that the information contained mxand submitted uvmnvnnvagent mcompile said permit/application is true
and correct, andauthorize s ku County to u with processing. In addition, / 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 ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancel the provisions ofany state or local law regulating construction, or as a warranty of conformance with the provisions ofany state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 91002630 DATE= 05/29/0 PAGE= O)
**************************** PERMIT INFORMATION ****************************
SITE STREET= 108ii E 29TH AVE PARCEL*- 28543-4414
ADDRESS= SPOKANE WA 99206 ,
^
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
***
SEE NOTE ***
'
PLATO= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= Milk LOT= 6 ZONE= AGUB DI%TO= F
AREA= 00 000000 F/A= F WIDTH= iOO DEPTH= i37 R/W= 70
0 OF BLDG%= 2 0 DWELLINGS= i WATER DIET =
OWNER= CRAMER WILLIAM R PHONE= 509 922 9449
%TREET= 108ii E 29TH AVE —
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON JOHNSON PHONE NUMBER= 509 458 93R4
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= J & % CONSTRUCTION PHONE= 509 458 9384
STREET= 605 E HAYDEN AVE -
ADDRESS= RATHDRUM ID 83858
ITEM DESCRIPTION QUANTITY FEE AMOUNT*
------------------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 4O.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
8�/?9/9i 328i 50.06)__� _
TOTAL DUE= .0O
PERMIT TYPE FEE AMOUNT
--------------- -------------
%EWER PERMIT 5O.0O
-------------
50.00
--------------
PAID= . 50.0O
AMOUNT PAID AMOUNT OWING
------------ -------------
50.0O .00
------------ ----------------
0
------------
O
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IN 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 LINE%, 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 %EWFR MAIN
********* CALL FOR INSPECTION PRIGR TO COVER ********** ^
�
*********
CALL
HOUR NOTICE REQUIRED
********* 456-3604 **********
******************************** THANK YOU *********************************
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's _.
Planning
Utilities----
Other----
Date:
tilities-_ _____Other __._____
Date:
SPECIAL. CONDITION CHECKLIST
Project #
Condition_
se: ------
E Init:
(in)
Special Insp. Final Report_
Hydrant ( ) _ —
Lock Box _
RID/CRP
Easements
Road Plans/improvements
Bonds
Bonds
Double Plumbing
ULID
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY ONLY
Date received for CIO processing: Plans pulled for final processing: _
Temporary CIO issued: -_______— Certificate of Occupancy issued: .--
Office file review by: Date: _T
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of pians:
Plans returned:—�
No response from owner/contractor - plans destroyed:
IlatP
Received by: _-__
Appr:
(out)