1991, 05-14 Permit: 91000875 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 correctand authorize SkCounty to proceed with processing. In addition, I have read and understandm 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 OnAGENT DATE
PROJECT NUMBER= 91000875 ISSUED PERMIT DATE= 05/i4/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11021 E 30TH AVE PARCEL4= 28543-4612
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 46 LOT= ZONE= AGSUB DI%T4= F
AREA= 0O0008O0 F/A= F WIDTH= DEPTH= R/W= 70
4 OF BLDG%= i 4 DWELLINGS= i WATER DIST = MODEL
OWNER= E% OVY PHONE=
STREET= ii021 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN ANDERTON PHONE NUMBER= 509 924 5595
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 994 4238
STREET= P 0 BOX 14i557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/14/91 2862 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 A%-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 LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AN %T D TO THE SEWER MAIN
********* CALL FOR INSPECTION 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------_____-- .__-- RlD/CRP
Easements _ . .. . ..
Road Plans/Improvements —_
•
•
.
Planning— _ .Bonds:_
Utilities Double Plumbing ..
_ ULID
Other. —_ • -
—**"*—***"*"*`""`THIS SPACE FOR COMMERCIAL PLANS TRACKING,.CERTIFICATE OF OCCUPANCY ONLY"*'"*"""********`"*"****'"'**"
Date received for 0/0 processing: Plans:polled for final processing:__ ._
Temporary CIO issued: -__-- ' .Certificate:of Occupancy issued:_ _
Office file review by: . Date: ----___ --
Filed ipsp 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: �______------___----___---