1991, 05-14 Permit: 91000974 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,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= 91000974 ISSUED PERMIT DATE= 05/14/9i PAGE= Oi
**************************** PERMIT INFORMATION ******* ********************
SITE STREET= ii0i1 E 30TH AVE PARCEL4= 28543-461i
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PL T4= 0Oi393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 46 LOT= ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 70
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST = MODEL
OWNER= P RM N I R, J PHONE=
STREET= iiOii 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
***************************** SEWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 994 4238
STREET= P 0 BOX 141557
ADDRESS= SPOKANE WA 992i4
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/14/91 2860 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50.00 5O.00 . 00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS-BUILT INFORMATION I% 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 (456-8008)
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 **********
********* 456-36O4 **********
*********************»********** 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_
Engineer's RID/CRP
Easements
Road Plans/Improvements
— _ Bonds ':.
•
Planning �__ $ands:
Utilities-- _ Double Plumbing—��
U L I D
Other.
*""""""'"'*`"***-"****""THIS SPACE FOR COMMERCIAL PLANS.:TRACKING;CERTIFICATEOFOCCUPANCY ONLY''''r'''''*"**"*****"**"**********
Date received for 0/0 processing: •` :•Plans pulled for final processing, — `---
Temporary 0/0 issued Certificate:of Occupancy issued:
Office file review by _—_--• __-. Date:. w
ailed i,psp finaled by. _Y _ • _ 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: ------------------_____--