1991, 04-01 Permit: 91001061 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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W. BROADWAY AVENUE
�
. POKANE,WASHINGTON 99260
(509)456-3675
Icertify that/have examined this ppmmunp//oouon state that^ homm,mononoo"tamoom/tundouummou»vmoonnv�entmvnmnno,ump^nnmupnnouuomm
is true
and correct, oauthorizea x County m permit/application,
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.
APPLICATION
OWNER
ovvwsRORA6emT DATE
PROJECT NUMBR= 91001061 I%%UED PEKMII DATE= 04/01 /9j PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET- 11220 E 29TH AVE PARCEL4=128543-4707
ADDRESS= SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION — %OUTHkOKOMO
� *** SEE NOTE *** .
� `
PLAT0= 001 393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 4 LOT= ZONE= AG%UB DI%T4= i3� FR/U 7O
AREA= O_ 47
O� i70O F/A= F WIDTH= 90 DEp | *= = /
c�
0 OF BLDGE= � DWELLINGS- i WATER DIST = |
|�=
STREET= 11 220 E 26TH
AVE
ADDRESS= SPOKANE WA 99206
' PHONE NUMBER= 509 924 6077
BUILDING
CONTACTSETBACKS :
JIMFRONT-
NIEL%ONA LEFT= NA RIGHT= NA ` REAR= NA
******************** ******** SEWER PERMIT ******************************
CONTRACTOR= J .R . II CONSTRUCTION PHONE= 509 924 6077
STREET= i0504 E VAL EYWAY AVE .
ADDRESS- SPOKANE WA �92O6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40 .00
** **************************** PAYMENT %UMMARY **************�*************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
. 04/01 /9i 1704 50,00
--- —
OO TOTAL PAID= 5OOO
TOTAL DUE= ^ �v.�"
_
PERMIT TYPE
__ FEE AMOUNT__ _AMOUNT_PAID _AMOUNT
_OWING
-----
%E` WER PERMIT 50,00 50,00 00
—__ _ ----------
.
50.00 50 .00 .00 :
PROCE %ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION I% AVAILABLE AT THE �OUNTY
\
UTILITIESDEPARTFul. (456_36O4) /
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THF
• ELEVATION AND POSITION OF SEWER STUB PRIOR TG ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPING , WATER LINES, ECT .
CALi1BEFORE YOU DIG 45 ,6—8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AN B% T D TO THE SEWER MAIN
********* CALL FORIN%pECIION PRIOR TO COVER **********
********* 2 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
-- -- Easements —
-- Road Plans/Improvements
____________ Bonds
Planning—._-- — -- Bonds
Utilities —__--_— Double Plumbing.
ULID
Other.-------.__.____.____ __ --
"""""'""""""""""'""THIS SPACE FOR COMMERCIAL PLANSTRACKING,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
_
—__-._. Received by: ___-- _---____ _ ._.-____
No response from owner/contractor._plans destroyed:__ —