1991, 03-13 Permit: 91000650 SewerSPOKANE COUNTY 6EPARTM ENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON SS26»
(509) 456-3675 lent to compile said permit/application istrue
ined this permit/application, state that the information contained in itandsubmitted by meormy aq
NeMNMMIhaveexam d understand the INSPECTION REQUIREMENTS/NOTICE
and correct, and authorize Spokane County to proceed with processing. In addMon, I have mad an ng M, type of work will be complied with whether specified
pmogions incluMd herein and agree to comply with same, All proosions of laws and ordinamm gmum vals or Certificates of Occupancy shall not be construed to
herein or not. I understand thatMe issuance 0 this permit/application and any subsequent inspection appro nty of conformance MM Me prowyons A a" stale Or 10MI
give auMoM, Q W,Wfe cancd Me pmwsions 0 any state or local law regulating construction, or as a warra
laws regulaUng conMruCtiOn APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
PROJECT NUMBER= 00000M.I%%UED PERMIT DATE= O3/i3/9i PA�E= %G'',
**************************** PERMIT INFORMATION ****************************
SITE %TREET= iiOO8 E 29TH AVE PARCELO= 28543-46i8
ADDRE%%= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
***
SEE NOTE **-)(-
PLATO=
**PLATO= 0Q393 PLAT NAME= KOKOMOTOWN%ITEF
BLOCK= 46 LOT::::ZONE= nG^"B DI%TO=DEpTH R/W= 7O
AREA= OOOOOOOO F/A= F WIDTH= =
0 OF BLDG%= i 0 DWELLIN�%= i WATER DIST =
OWNER= O ER OWARD PHONE=
STREET= �i 8 9 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%ON PHONE NUMBER= 509 924 6077
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= J.R. 11 CONSTRUCTION PHONE= 509 924 6077
STREET= TA5O4 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y iO.00
,''''EWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
0303/91 1i98 50.0O
TOTAI DUE:::: DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.0O 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 (45�-8OOO)
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 *********************************
Project
Address:
Dept:
Dept. of Bldgs
Engineer's —
Date
SPECIAL CONDITION CHECKLIST
, Condition:
Project
Init:
(in)
Appr:
(out)
****'*'*"""'""******'****'*''* THIS SPACE FOR COMMERCIAL PLANS:TRACKING,.CERTIFICATE OF,OCCUPANCY
Date received for C/O processing. —. Plans pulled for final processing:
Temporary C/O issued'.—__.__._._ 'Certificate Of Occupancy issuett:
Office file review by:Date:
Filed insp finaled by: — __ ___ _. 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: