1991, 07-08 Permit: 91001085 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 conta/ ed in it and submittedo t to compilesaid permit/application is true
and correct,and authorize Spokane County to 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/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= 91001085 ISSUED PERMIT DATE= 07/08/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 114O2 E 29TH AVE PARTE 1...4= 28543-482i
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 48 LOT= 6 ZONE= AG%UB DIJT4= F
AREA= 000000O0 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= 1 4 DWELLINGS= i WATER DIST =
OWNER= ER ML & MR PHONE=
STREET= 11402 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/08/91 4476 50.00
------------
TOTAL 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 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
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 CABLESGAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (450-8000)
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL ! I KI T
Project
Address: --_,. Project# Use:__-.
Dept Date: Condition: !nit: Appr:
(in) (out)
Dept,of Bldgs.
Special Insp.Fina! Report
Hydrant ( )
—__—_-- Lock Box.
•
Engineer's RID/CRP
Road Plans/Improvements -- _.--
BQP01
Planning Bonds
Utilities __ _._ _-- Double Plumbing__ — -
ULID
Cather
,..t._.a.—....,,.u.,..,,_.m. a:THISSPACE-FOR 6OM ERCIAL� AN j ApkI�r3 CE ri: E �`reOFoc U?ANC 0v�Y';,".,
Date received for`0/0 prices§sng. TT _ t }�lan;;pq�i9ed#gar f+n Ipro es ing
Temporary 0/0 issuedl '_ O rttfrcateof Odcupaocyissued ,____
Office file review by Date:
Filed insp finaied by Date _--
Ninety days after 0'O issuance:
Owneri.ontraotor called reg c wring the return of plans __-- - Date
Plans rettarlled' Received by .___._._.._.
No response ir-;r;owner/contractor-plans destroyed