1991, 04-01 Permit: 91000709 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
N� 13O30ROADW�kYAVENUE
' 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 tucompile said permit/application is true
and correct, and authorize Sx 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,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= 91000709 I%%UED PERMIT DATE� O4/O1 /?i PAr;E= :::::)i
~
**************************** PERMIT INFORMATION ************** *************
,
%ITE %TREET= 1i003 E 3OTH AVE PARCELO= 20543-4610
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - %OUTH KOKOMO
*** %EE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 46 LOT= ZONE= A�%UB DIJT�= F
AREA= 08000000 F/A= i- WIDTH= DEPTH= R/;Ai= 7O
4 OF BLDG%= i 4 DWELLING%= 1 WATER DIET = MODEL
OWNER= KI ROUGH PHONE=
STREET= 1i003 E 30TH AVE
ADDRE%%= %POKANE WA 992W6
CONTACT NAME= %TAN ANDERTGN PHONE NUMBER= 509 924 579=
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 924 5595
STREET= PO BOX 141557
_ ADDRE%%= %POKANE WA 992i4
ITEM DE%CRIPTIONQUA�TIT; FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10. 00
SEWER CONNECTION i 40. 00
******************************* PAYMENT SUMMARY **************************** I
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/01 /9i 1690 50. 00
------------
TOTAL DUE= ^00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-----------_--- - ------_----- ---_----_---SEWER PERMIT PEMIT 50.00 50.00 .00
------------- ------------ -------------
50.O0 50.O0 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED
CABLES, GA7 PIPING, WATER LINE%' ECT ,
CAL[ BEFORE YOU DIG (45�-8O00)
SEWER -STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT •THEY ARE CLE R N %��UCTED TO THE %EWER MAIN ' ' '
********* CALL FOR IN%PECTION PRIOR TO COVER ********** *
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
- , ` `�' . � .� . . ^ , � . /
"
. . ' � • '�
,, .
SPECIAL CONDITION CHECKLIST
Project
Address: Project#- Use:.
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
_ .__-___—__—_--- _ _-______—_._ Special Insp.Final Report_.
—_-- -- __ Hydrant( ) . „___
Lock Box_ --------______--- --- --__--
Engineer's______ --------- RID/CRP
--- — — — Easements — — -- — -- — — —
_____________ -- Road Plans/Improvements---- __ .--------- _.-- —__-_._
_ —.__-- Bonds_
Planning_ Bonds--- ----_-----------------_—._------_----_
•
Utilities Double Plumbing____—�__
—__-- U L I D
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 0/0 issuance:
Owner/contractor called regarding the return of plans: _— __ Date
Plans returned: ____________ ____.____ ____ .---_- _ .____ ____._._. Received by
No response from owner/contractor-plans destroyed: __ -