1991, 08-05 Permit: 91004734 SewerSPOKANE COUNTY DEPARTMErNT 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 Spokane 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.
SIGNREG /, 4- -' y ATEAPPLICATION
OWNER OR AGENT Ccs -G DATE
PROJECT NUMBER== 91004734 ISSUED PERMIT DATE== 08/05/91 PAGE= 01
****xxxxxxxxxxxxxxxxxxxxxxx PERMIT INFORMATIONx*xxxxxx******xxxxxxxx...R...p:•xx
SITE. STREET= 251. E BOLIVAR CT PARCEL: == 26543-0i02PTN
ADDRESS= VE::RADAL.F WA 99037
PERMIT USE: SEWER CONNECTION .... EVERGREEN POINT 5TH ADDITION
** SEE NOTE xxx
PL..ATt_= 005077 PLAT NAME= EVERGREEN POINT STH ADD
BLOCK= 16 LOT= 6 ZONE= UR•• -:3.5 DIST: ==
AREA= :A= FWIDTH- 89 DEPTH=130 F:W= >
OF BLDY[•4 DWELLINGS= i WATER DIST
0WNE::R=:
AI)1)RESS==
W R S & ASSOCIATES
POB 14084
SPOKANE WA 99214
PHONE= 509 922 0782
CONTACT NAME= BIL..L.. SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT=:: NA REAR= NA
x3hxxxxYh9{•}4*lk*ih?t•k*il•1t7F*if•*Yk3!'H•** :R SEWER PERMIT •*** •**************tt•tt•;i**•• :• *ai*
CONTRACTOR= W R S & ASSOCIATES
STREET= P 0 BOX 1 4084
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
SEWER CONNECTION
PHONE= 509 922 0782
2
FEE AMOUNT
10.00
40.00
xxxuxx** ***x*3*************** PAYMENT SUMMARY xxxxxxxxxxxxxxxxxxxxxxxxxxxx
PAYMENT DATE RECEIPT:;; PAYMENT AMOUNT
08/05/91 531 8 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .� 0
50.00 50.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) 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 AND UNOBSTRUCTED TO THE SEWER MAIN
xxxx* *x* CALL FOR INSPECTION PRIOR TO COVER xxxxxxxxxx
xxxxxxxxx 24 HOUR NOTICE REQUIRED xxxxxxxxxx
xxxxxxxxx 456-3604 xxxxxxxxxx
xxxxxxxxxxxxxit•i4xxxxxxxxxxxxxxxxx THANK YOUxxxxxxxxxxxxxxxxxxxxxx3t•xxit'•xxxxil•*x
SPECIAL CONDITION CHECKLIST
Project
Address. Project #
Use:
Dept: Date. I I Condition: Init: Appr:
(in) (out)
Dept. of Bldgs.
tltilities.
Other
Special Insp. Final Report
Hydrant ( )
Lock Box
FID/CRP
Easements
Road Flans/Improvements
Bonds "".
3onds.
4- Y
Double Plumbing
ULID
•
THIVSPACEFORCOMMERCIALPLANSTRA
.. CKINGCEf;T(.FI�T�Of,OCftIP/-tl‘tftYONLY••,••,.•,,••...•,•,••••••.••,,,
Date received for 0/0 processing•%"_
Temporary C/O issued:.,
Otfice fire review by:'.'.--.---.-- --c-1-`-----
F.illyd, insp finaled Py,
N ;jayi after 0/0 is uanco.
Qwner/contrar.ito,r called regard,r:g the return of plans:
No response from owner/contractor - plans destroyed"
Plans"pputled for, firlat proees.,§ing:' i ;--:-__.:__
ertificateof Lccup4ncy:rssued:—._�_.�"T..
. Date " .
Date
. Received by:
Date