1991, 12-18 Permit: 91004199 Sewer _ _-- _-- - .__ —___
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
@k1303B0OADV�AY AVENUE
' �pOKANE,WASHINGTON S92G0
(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 Soxono County 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 OR AGENT DATE
PROJECT NUMBER= 91004199 ISSUED PERMIT DATE= i2/i8/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11213 E 32ND AVE PARCEL0= 28543-5516
ADDRESS= SPOKANE WA 99206
1
PERMIT USE SEWER CONNECTION - SOUTH KOKOMO _ |
*** SEE NOTE ***
PLATi= 00i393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 55 LOT= ZONE= AG%UB DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= MC KINLEY, D W PHONE=
STREET= 11213 E 32ND 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= A PLUS CONSTRUCTION PHONE= 509 922 4594 --.--
STREET= PO' 14.1557
ADDRESS= SPOKANE WA 992.14 / -
- a~ '
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING
r��------------ -------- ---------- |
rU[ESSING EE Y '10OO
^ |
SEWER CONNECTION i 40.00 `
******************************* PAYMENT %UMHARy ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT |
- |
12/18/91 9533 50.00 -
J ------------ -'-
TOTAL DUE= .00 TOTAL PAID= 50.00 / _
PERMIT TYPE FEEAMOUNT AMOUNT PAID AMOUNT OWING
� --------------- ----------- ------------ -------------
SEWER PERMIT 50.00 50 .00 .00
------------- ------------
50,00 50.00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR GR APPLICANT • I% 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, FEY.
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 *********************************
�
SPECIAL CONDITION 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
Bonds
Planning Bonds
Utilities____ —____ _ Double Plumbing
ULID — -- — —
Other
""' —"*"THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY " -- '""
Date received for C/O processing: _�_ . Plans pulled for final processing:______—__—_____—_______
Temporary C/O issued: ___.__________ ___ Certificate of Occupancy issued:
Office file review by: _ __ �_ Date:
Filed insp finaled by: Date:
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: