1991, 07-09 Permit: 91002322 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, unu authorizeSpokane Countymm000u with processing. In addition, / hmm read andunderstandmo 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= 91802322 ISSUED PERMIT DATE= 07/09/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10817 E 32ND AVE PARCEL4= 28543-5323
ADDRESS= SPOKANE WA 99206
PERMIT USE:: SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 53 LOT= ZONE= AGRI DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= ROE., STANLEY PHONE=
STREET= 1O817 E 32ND AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TLC CONSTRUCTION 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= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/09/91 4529 50.00
TOTAL DUE=DUE= .08 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 %HATTO
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 RE 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 *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init; Appr:
(in) (out)
Dept.of Ridge.
Special Insp,Final Report___
Hydrant( )
Lock Box
Engineer's RID/CRP
Easements::' • ---__
Road Plans/Improvements
Bonds
Planning _ __-____ Bonds _.._-__-._. ,,_._ ._. __
•
iJtiiities d _ Double Plumbing__.__. _ . �:
ULID — —
Other
THIS SPACE FOR COMMERCIAL PLANS TRACKINGaCERTIFICAiTEOF OCCUPANCY ONLY.-*.•***–"•"•••*"••,*•>_,•>•`
Date received for C/O processing ::._.__ .- Plans..puled:for final-;processinq
Temporary C/0 issuee pertrfrea e of Occupancy issues!_-
Office file review by ;,..
Filed insp frnaled by pate
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 —__