1991, 03-13 Permit: 91000485 Sewer�_.
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 803G0
(509) 456-3675
1 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 aumonzoSpokane County m proceed with processing. In uuomon. / have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree mcomply with same. All provisions v/laws and ordinances governing this of work will mocomplied with whether specified
herein u,not. | understand that the issuance mthis /vup o oonondanvovuoonvvntmunovuonuvvmvu/oo,00mnoaxmo,ocovvancyoom/notu*xonvtmoom
give authority to violate orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions ofany state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT oArc
PROJECT NUMBER= 0000485 ISSUED PERMIT DATE= 0303/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= ii01i E 29TH AVE PARCEL*= 28543-43ii
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
***
SEE NOTE **-)(-
PLATO=
**PLATO= OOi393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 43 LOT= ZONE= AG%UB DI%TO= F
AREA= 000i3000 F/A= F WIDTH= 1OO DEPTH= 130 R/W= 70
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= WALLMAN, HAROLD H PHONE=
STREET= iiOii E 29TH 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. II CONSTRUCTION PHONE= 509 924 6077
STREET= i05O4 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
—.... —.... .... .... .... .... .... .... .... -------------- -------- -------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:!!: PAYMENT AMOUNT
0303/911 ii97 50. 011".11
------------
TOTAL DUE= .00 TOTAL PAID= 50.0(.*)
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O.O8 5O.�� .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 IN 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 N %T 0 TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
Project
Address:
Dept:
Dept. of Bldgs
Date:
SPECIAL CONDITION CHECKLIST
Condition:
Project #
Init: Appr:
(in) i (out)
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: