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1991, 05-15 Permit: 91000851 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS Nt13M3BROADWAY AVENUE SPOKANE, WASHINGTON 9S2BO (509)458'3675 1 ceNy t1hat! haveexamined 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, o authorize Spokane Cotym pioceed withvm000mu 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 becomplied with whether specified hereinornot. I understand that the issuance of this permit/application and any subsequent inspection approvals or CertYcates 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 onAGENT DATE PROJECT NUMBER= 91000851 ISSUED PERMIT DATE= 0505/91 PAGE= Oi **************************** PERMIT INFORMATION **************************** SITE STREET= ii002 E 29TH AVE PARCEL*= 28543-46i3 ADDRESS= SPOKANE WA 99206 FEE AMOUNT AMOUNT PAID AMOUNT OWING PERMIT USE= NEWER CONNECTION ------------- ------------ 50.0O 50.00 ------------- .00 *** SEE NOTE *** ------------- ------------ 50.00 50.00 ------------- .00 PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE BLOCK= 46 LOT= ZONE= AG%UB DI%TO= I:: - AREA= OOOOOOOO AREA= F/A= F WIDTH= DEPTH= R/W= 70 0 OF BLDG%= i 0 DWELLINGS= DEPARTMENT (456-3604) i WATER DIST = OWNER= MUROCK OR APPLICANT IS TO FIELD PHONE= STREET- ii002 E 29TH AVE PRIOR TO ANY OTHER ADDRESS= SPOKANE WA 99206 CONTACT NAME= RON JLOAN BURIED CABLES,GAS PIPING ' PHONE HUMBER= 509 922 8500 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ***************************** SEWER PERMIT ****************************** CONTRACTOR= ALWAYS ACTIVE ARE CLEAR AND UNOBSTRUCTED PHONE= 509 922 8500 STREET= PO BOX 141562 CALL FOR INSPECTION PRIOR TO COVER ********** ADDRESS= SPOKANE WA 9904 24 HOUR NOTICE REQUIRED ********** ITEM DESCRIPTION 456-3604 QUANTITY FEE AMOUNT ------------------------- PROCESSING FEE THANK YOU ********************************* -------- ------------- Y iO.0O SEWER CONNECTION i 40.01') ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPTO PAYMENT AMOUNT 0505/9i 2906 50.00 TOTAL DUE= .00 TOTAL PAID= ---------- ---- 5O.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- %EWER PERMIT ------------- ------------ 50.0O 50.00 ------------- .00 ------------- ------------ 50.00 50.00 ------------- .00 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 NEWER MAIN ********* CALL FOR INSPECTION PRIOR TO COVER ********** ********* 24 HOUR NOTICE REQUIRED ********** ********* 456-3604 ********** ******************************** THANK YOU ********************************* Project Address: Dept: Date SPECIAL CONDITION CHECKLIST Condition: Project Init: (in) Appr: (out) ************'*'**"THIS SPACE FOR COMMERCIAL PLANS TRACKING; CERTtFtCATE OF OCCUPANCY ONLY Date received for C/O processing, Plans° ulled'for finalprocessing: " Certificate of Occupancy issuers: ' Temporary C/O issued.-__ Office file review by: Date:..---_ Filed inspfinaled bf.: ---.--.Date: __.____�____. Ninety days after C/O issuance: Owner/contractor called regarding the return of plans: Plans returned: No response from owner/contractor - plans destroyed: Received by: Date: