1991, 12-04 Permit: 91007447 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303BROADWAY AVENUE
SPOKANE, WASHINGTON 9826V
(5V9)45G-3G75
1 certify that I have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to said permit/application /utrue
onu curect, and amo,/zoa»oxuneCounty to proceed with processing. In addition, / have read and understand the /wupeonownsou/ncmswTa/wor/cs
provisions mo/uoeux*Wmand agree mcomply with same. All provisions v,laws nndordmunoo, governingmis type mwork will u000mvuouwith whether specified
xommo,nMAunderstand that the issuance mthis permit/application unuunvov000nvontmupvouonavnm,u/oo,o^mnouumu,00cuvumyoxuunoto^oonmmoum
gwe authority to viclate or cancel Me provisicris of an MaN orlo,cal law regulating construction, or as a wa"anty of conformarice MM Me provisions of a" state orlmal
laws regulating construction.
SIGNATURE OF AppuCAT|0m
OWNER onAGENT DATE
PROJECT NUMBER= 0007447 ISSUED PERMIT DATE= 12/04/91 PAGE= Gi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10720 E 3i%T AVE PARCELO= 28543-5333
ADDRESS= SPOKANE WA 99206
PERMIT USE= NEWER CONNECTION — SOUTH KOKOMO(9FS9)
***
SEE NOTE *** '
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 53 LOT= 7 ZONE= AG%UB DI%TQ F
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIET =
OWNER= MURPHY T A PHONE--
STREET=
HONE=JTREET= 10720 t 3i%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 927 5485
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= i6402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 1O.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/04/9i 918i 50.00
TOTAL DUE=-- DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50.00 50.00
5O.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOHITROVICH, ROBIN
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 PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (451-8000) ' ' ^
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 *********************************
c
SPECIAL CONDITION CHECKLIST
Project
Address: —__-_ _-- --- ------_.___-- — Project#_ Use.
Dept: Date: Condition: nit 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_._
-_..-----.--- . U L I D
Other_-- —. ----- - ---
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: _______ __.___-_.__-_____._._.-_-___. Plans pulled for final processing
Temporary 0/0 issued:_____________ _______.______-_-_ ___._—___. Certificate of Occupancy issued: ._______ _____
Office file review by. _ ---- ate: ___-- -_.___-- ---- -...... -
Filed Insp finaled by: __-- -____.--_ __-_--_ —__. ate:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: ___._ Date:
—
_ Received____-- b — ----- -
Pl;�ns refurnec: _-- y; _.�__ ._.____-- _-_..
No response from owner/contractor_.plans destroyed: