1991, 08-05 Permit: 91002538 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(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 is true
and correct, and authorize Spokane County to proceed with processing. In additionhave 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 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= 91002538 ISSUED PERMIT DATE= 08/05/91 PAGE= 8i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1i221 E 29TH AVE PARCEL4= 28543-4214
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4= 00 1393 PLAT NAME= KOKOMO TOWN%ITE
.
BL = 42 LOT= ZONE= AG%UB DI%T4= F
AREA= OOOoOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i � DWELLING%= i WATER DIST =
OWNER= YANG PHONE=
STREET= 11221 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= ii817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------
PROCE%%ING FEE Y 110.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/05/91 5285 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50.00 50,00 5O.00 .08
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 SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, 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 SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address, ____._ .---._______.-- Project#_a Use:
Dept. Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
__ Special Insp.Final Report _---
_ Hydrant( ) -
�.__.------. Lock Box
Engineer's RID/CRP
Easementsu�
Road Plans/improvements T .
Bonds
•
•
Planning__—_ Bonds- -
Utilities — Double Plumbin
U L I D — — —
•
Other-..-
•
•
D**—***DDID ---** * THIS SPACE FOR COMMERCIAL PLANS TRACKING CERTIFICATE OF OCCUPANCY ONLY ****—*****"°""` "`
Date received for C/O processings; w , — . • _-:-;-,:.plan$pulled for final processing
Temporary C,'Oissued = Certificate of Occupancyissuetl'.
Office file review by: Date: _` _
Failed insp finaled.by a_ Date:- ._ --- _
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans ____---- Date:
Plans returned: Received by:
No response from owner/contractor-plans destroyed:--- -----.-- _ _