1991, 07-09 Permit: 91002323 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 Sx 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= 91002323 ISSUED PERMIT DATE= 07/09/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 112O5 E 32ND AVE PARCEL4= 28543-5520
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4= 00 1393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 55 LOT= 19 ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= KERNS PHONE=
STREET= 1i205 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 Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/09/91 4525 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 %HATTO
SEWER STUB AS-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 N %T T D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
******** 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL !T! 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
rind
Planning _-_�__ Bonds _
Utilities___ Double Plumbing
ULID
............ ....... ........ ...... ... .
Other_.____,__ ______
-- --- ------- --------------
'."x'..:....'°">.**“-"* '***THIS SPACE FOR COMMERCIALPLANS CERTt'PtCATE;OFOCCUPANGY ONLY:, .••`•'",`"—< «......*..,,
Date received for C/0 prooessmg; •_ �_ _� P{ans pulted:fcar,fitna: rote4sinq
Temporary CIO issued `. ___. :•_ Certificate of Occupancy,issued.• --
( y •
Office file review by _ �_:w_ •i:•,,.: __ -._ —__. Date
�"i�ed iSsp„IEnalei..t?y :r r - -.Date: T r
Ninety days after CIO issuance:
Ownewc.ontractor called regarding the return of plans -- �.-- --___-. Date: - _--
Plans tnturnedReceived by: __--
No response from owner/contractor-puns destroyed -- ------ -- -----.---