1991, 07-09 Permit: 91002781 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON gg2G0
(509) 456-3675
/ certify mu"xuvoo^o=nou*/owermmunnxmt/on omtemutmomm,munvnoontumvdmnsubmitted magent nnumvn�own is true
and correct, u m / Spokane County t ' eemwith processing. In addition, / have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agreetocomply with same. All provisionsof lawsand ordinances governing thistype ofwork will be complied with whether specified
hereinornot. 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= 9100278i ISSUED PERMIT DATE= 07/09/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= ii02i E 3i%T AVE PARCELO= 28543-022
ADDRESS- SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION — SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 00i393 PLAT NAME= KOKOMG TOWNSITE
BLOCK= 5i LOT= ZONE= AG%UB DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= EVAN%ON, G C PHONE---.::
STREET= 1102i E 0%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TLC PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= i306 E 12TH AVE
ADDRESS= SPOKANE WA 9906
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
RECEIPT�
PAYMENT AMOUNT
07/09/9i
4533
50.00
TOTAL DUE=
.00
TOTAL PAID=
------------
50.00
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
--------------- -------------
%EWER PERMIT
------------
5O.00
50.06.)
-------------
.00
-------------
------------
50.00
5O.00
-------------
.00
PROCESSED BY: JULIE %HATTG
PRINTED BY: JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IN TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER.
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPINGWATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (456-8000)
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 **********
********* 456-3604 **********
******************************** THANK YOU *********************************
Project
Address:
Dept: Date:
Dept. of Bldgs.
SPECIAL CONDITION CHECKLIST
Project #----Use:.----.—
Condition: Init:
(in)
Appr:
(out)
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY
Date received for C/O 100Q)essing' Plans pvlied.for final processing:
Temporary C/O issued- Certificate of Occupancy issued:
-A Y =7�
Office file review by: Data
Filed inspfiqalep by:. --------- Date. - - ----------- 77-7,
- - - - - - --- - - - -
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by: -- - -- --- ------- ---
No response from owner/contractor - plans destroyed: