1991, 05-14 Permit: 91001257 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91001257 ISSUED PERMIT DATE= 05/1 4/91 PAGE= 01
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SITE STREET= 10812 F 30TH AVE PARCEL4:::= 2R943—'3202
ADDRESS= SPOKANE. WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
.,i.. ;1 SEE NOTE 3i 3
F'i...AT„:= 001393 F'L_AT NAME= KOKOMO TOWNSITE:
BLOCK= "i"? LOT= ZONE= At:Si.IT•:t DI TT :==
AREA F'/`A=: (' WIDTH= 100 DEPTH= 130 i:.°,-W= C,
I 4 DWELLINGS= WATER DIST =
OWNER=:: HAYS STEVE PHONE-:
STREET= 10812 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDERTON PHONE NUMBER== 509 924 5594
BUILDING SETBACKS : FRONT=:: NA LEFT= NA RIGHT= NA REAR== NA
31 3'•A•b:3'••P:•h••N:3{.•A'H•3k 3i P•..jl•A 3{'j{it.3,.3''3*3.A:14..jt..j*3* SEWER PERMIT 3i•3'•P:.jt.•&a*3i•il:3'••h•P.•3'••A:•P:.'j,:.jr*.i1.3{'h:••hi•ik•P.••N:•It•3'•'ni•3'•'F:
CONTRACTOR= ENVIROGUARD INC PHONE= 509 994 4238
STREET= P r) BOX .141957
ADDRESS= SPOKANE WA S' ;?•i =
ITEM DESCRIPTION QUANTITY FEE AMOUNT.
PROCESSING FEE Y 10,00
SEWER CONNECTION •j 40,00
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PAYMENT St_IMr'IFiFiY •)k•3i•3'•'A:3'•3k 3t*'R''/{3t••M:••R:3''3t'P:'fi:3{34•:4 3t•'P:3'''A:'A:1''•}'•3{•
PAYMENT DATE RECEIPT:": PAYMENT AMOUNT
05/14/91 2856 50,00
TOTAL DUE= .00 TOTAL PAID= 50,00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT so,00 50.00 .00
50.00 50.:00 ,00
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SITE NOTE:: : TOPIC :::: GENERAL DEPT = BUILDING
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SITE ALSO INCLUDES EAST 10810 30TH AVENUE
PROCESSED BY : JULIE SHATTO
PRINTED BY : •..JUI_.IE: SHATTO
SEWER STUB AS—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 I...TNES, ECT .:
l..;AL..E_. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY Ai E" CLEAR AA,ND`., UNOBSTRUCTED TO THE SEWER MAIN
3'H:'3:'p:3;x'3'•3e3'' CALL FOR I:NSF`F::C'T ION PRIOR TO COVER 3r3''*3''3'***•*t
3'•3t'*.'t3''3@*3i•;'• 2.4 HOUR NOTICE. REQUIRED It)t***3f•,t** '•
456-3604
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.......... .. ..... .. .. ... .3.. •• .. ... .. ..
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# _Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant(
Lock Box
• ••
. .
Engineer's RID/CRP.
• " • : ; . .
Easements
Road Plans/Improvements
- . • • -.
t-. • . .
•' "
Planning • ;, •••• • „. . .. . . .
. .
•
. . . . .
•
Utilities , Double Plumbing
ULID
. . .
•
Other
. _ .
•
. .
. . . . .
••
" * " ** ** ** *** THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY—*—*****—****************
Date received for C/O processing: Plans pulled for final processirtgi
Temporary C/O issued: . Certificate of Occupancy issued: •• •
. .
Office file review by:
Filed insp finaled by. • , ,•• •
Ninety days after 0/0.is%tance: .
Ownericontradtdt reghf'ding the return of plans: Datd:
Blensdeturnech • , •Receiind • •
No response from owner/contractor-plans destroyed: