1991, 07-10 Permit: 91003268 Sewer SPOKA �3UNTY DEPARTMENT OF BUILDINGS
w.1303 BROADWAY AVENUE
| ���POKANE,WASH1NGTON 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 m 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= 91003268 ISSUED PERMIT DATE= 07/10/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11319 E 30TH AVE PARCEL0= 28543-4815
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT0= 001393 PLAT NAME= KOKOMOTOWN%I EB DI%T�= F
BLOCK= OO480O�O LOT= ZONE=
F "° DEPTH= i 3O R/W= 7O
� OF BnRcA� �" � DWELLINGS= i WIDTH=WATER DIET =
OWNER= WE N R PAUL PHONE= 509 928 6579
STREET= 11319 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COUR H INE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------- --------
------ i � OO
PROCESSING
SEWER EFEE
ON Y i 4O ^0O
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/10/91 4571 5O,OO
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------- OO
SEWER PERMIT 5O.00 50,00__ , __
50.00 50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-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 CABLESGAS PIPING , WATER LINES, ECT,
CALL BEFORE YOU DIG (45�-8OOO)
SEWER
STUBS
� ARE TO BECHECKED PRIORTO CONNECTION TO INSURE N
%URE
THAT THEY RECLEAR 'N- UNOBSTRUCTED TO I
******~.. CALL . ~R INSPECTION PRIOR TO COVER **********
****..*** 24 HOUR N-���� REQUIRED **********
** 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL ITI LI T
Project
Address: Project# Use:.__
Dept: Date: Condition: nit Appr:
(in) (out)
Dept of Bldgs.
Special Insp,Final Report
Hydrant(
--- ---- -----------
_ _-_—._ ___ Lock Box
Engineer's ---_-. _.__. RiDlCRP
Easements__
— --- ------- ----- .__-------- --
Road Plans/Improvements__--- — _--
Bonds .
•
Planning _��..._ Bonds
— —
•
Utilities Double Plumbing
ULM
•
Cher- - ,
•
•
THIS SPACE FOR COMMERCIAL PLANS TRACKING CERTIFICATE_OF.OCCUPANCYONLY. :--"*">_.•*••••*****— .,
Date received for C/O processing: _y Plans pulled for fenat processing
Temporary C/O issued
Gerf(fi ate"ot 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.