1991, 04-25 Permit: 91002084 Sewer -_~ .
~_-__~_
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, m99260
(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 permit/applicationis
and correctand authorize SkCounty to proceed with processing. In additionI 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 t e provisions of any state or local lawi egulating construction,or as a warranty of conformance w'th the provisi s of any state or local
laws regulating construction \ A
SIGNATURE OF APPLICATION //.
OWNER OR AGENT \ 1'4 DATE
PROJECT NUMBER= 91002084 ISSUED PERMIT DATE= 04/25/91 PAGE= 01
******** ******* *********** PERMIT INFORMATION ****************************
SITE STREET= i12i4 E 29TH AVE PARCEL4= 28543-4718
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION / KOKOMO TOWN%ITE
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOM TOWN%ITE
BLOCK= 47 LOT= 2 ZONE= F
AREA= F/A= WIDTH= DEPTH= R/W= 70
4 OF BLDG%= 4 DWELLINGS= 1 WATER DIST =
OWNER= JOHNSON, ROBERT PHONE= 509 924 7493
STREET= 11214 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= HOLTEN BROTHERS PHONE NUMBER= 509 926 9087
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ************************** ***
CONTRACTOR= HOLTEN BROTHERS PHONE= 509 9.2.6 698
STREET= 11704 E 8TH AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
---- ------ - ---------- -------- ----------
PROCESSING FEE Y 10,00
SEWER CONNECTION i - 40.00
************************ ****** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/25/91 2334 50.00
•
TOTAL 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 : JOHN LAR%ON
PRINTED BY : JOHN LAR%ON
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TOLOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG (45 -8OO
)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR ND UNOBSTRUCTED 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:
(in) (out)
Dept.of Bldgs.
_________________ _.__ . . _. Special Insp.Final Report______
__ . ___„__.__-- Hydrant
__ Lock Box
Engineer's________ RID/CRP
_._-- EasementsRoad Plans/Improvements
Bonds _______
Planning___ ____._. __ —. Bonds_
Double Plumbing_.__
--_—_--- _� U L I D
Other__._.------___--
•
""""---•""—"*--• "`THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY
Date received for 0/0 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 0/0 issuance:
Owner/contractor called regarding the return of pians:___ w --.__._.___. Date _
Plans returned: ____________ Received by: -- _. .-_._--
No response from owner/contractor-plans destroyed