1991, 04-01 Permit: 91000574 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 prmit/application is true
and correct, and authorize Spokane County to eem with »moossmV 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= 9i000574 ISSUED PERMIT DATE= 04/Oi /9i PAGE= Oi
**** *********************** PERMIT INFORHATION ****************************
%ITE %TRE,T= iO8i5 E 3OTH AVE PARCEL4= 28543-4511
ADDRESS= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION _ SOUTH KOKOMO
*** EEE NOTE ***
PL T4= 001 393 PLAT NA E= KOKOMO TOWNEITE
BL K= 4 LOT= Z E= A G%UB DI%T�=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 70
41! OF B DWELLING%= i WATER DI%T =
OWNER= MARVEL PHONE=
STREET= 1-08i5 E3OTH AVE
ADDRESS= %POKANE WA 99206
'CONTACT NAME= STAN - ENVIRO6UARD PHONE NUMBER= 509 924 5595
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 5595 - -
STREET= PO BOX 14i557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10. 00
-EWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/01 /9t 1692 50 .00
i ------------
| TOTAL DUE= .00 TOTAL PAID= 50.„,::)0
- i
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
------------^-- ------------- ------------
SEWER PERMIT PERMIT 50,00 50 .00 .00
------------- ------------50 ,00 50.00 5O.0O .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE -%HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% AS PIPIN�, WATER LINES , ECT .
CALL BEFORE YOU DIG (451 ��000)
SEWER %TUBE ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR A4D UNOBSTRUCTEDTO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
| ********* 24 HOUR NOTICE REQUIRED **********
********* 456—�604 **********
******************************** THANK YOU ******************************* *
•
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:____________.__. ___
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report_—__—_
_.- _._. ---- Hydrant( ) _
__ -- — Lock Box -- —
Engineers_—.____ _____ RID/CRP -- ---------_—_--- ---------- __ ---__._---
__—____._—___—.___ ___--____-- Easements__
—_------ - — Road Plans/Improvements�— .__—.- --- ---- -- _._--
__ _________ _ Bonds_
Planning_,__ .._._ ._. — Bonds.
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 processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by, Date:
Filed insp finaled by: _ _-___ Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: __—__ _ __ Date
_.
Receivedby: ____-_--
No response from owner/contractor-plans destroyed: