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1991, 06-03 Permit: 91002762 RefundSPOKANE COUNTY,.PAYMENT VOUCHER 126893 VENDOR CODE MISC NAME ELISE WERNER ADDRESS 17015 EAST MEADOWBROOK LANE SPOKANE, WA 99216 1191002762 1 401 1 436 1 0000 4241 1 100% REFUND ON PERMIT #91002762 FOR 17015 SOUTH MEADOWBROOK LANE, SPOKANE, 99216 - PERMIT ISSUED IN ERROR PER COPY OF PERMIT ATTACHED SELLER CERTIFICATION I, hereby certify that the materials have been furnished, the services SIGNED rendered or the labor performed as described herein or contracted for, and that the claim is a just, due and unpaid obligation, and that TITLE I am authorized to authenticate and certify to said claim. DATE DATE 6/3/91 AGENCY NAME CODE ENFORCEMENT AUDITORS STAMP ❑ 1099 REQ'D ID# REEUN I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the ma- terials have been furnished, ser- vices rendered or labor performed as described herein or contracted for, that the claim is a just, due and unpaid obligation against Spokane County or fund agency indicated above, that I am autho- rized to authenticate and certify to said claim. TIFIC_.ON TITLEOFFTCE ADMINISTRATOR DATE 6/3/ 91 50.00 TRAVEL CERTIFICATION ` I hereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by me and that no payment has been received by me on account thereof. SIGNED TITLE DATE EXAMINED and ALLOWED DATE 19 MAN MEMBER MEMBER ~ ~ 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 *ov 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. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 91002762 ISSUED PERMIT DATE= 05/21/91 ****************»*******»*** PERMIT INFORHATIAN ***********************«**** SITE %7RFET= 17015 E MEADOWBROOK LN ADDRESS= SPOKANE WA 99216 PERMIT USE= SEWER CONNECTION *** SEE NOTE *** PLAT1:= BLO K= AREA= OF BLDG%= OWNER,,, STREET= ADDRE%%= MH�iO7 PARCEL4= 2454J -9i26 PLAT NAME= MEADOWBROOk VILLAGE LOT- 3 ZONE= UR -7 Bl%T4= F/A= F WIDTH= DEPTH= 4 DWELLINGS= WATER DIST = WERNER ELISE 17015 E MEADOWBROGK LN SPOKANE WA 99216 CONTACT NAME= ELISE WERNER BUILDING SETBACKS, FRONT= HA LEFT= HA ***********w**4************** gEWER PERMIT CONTRACTOR= OWNER ITEM DESCRIPTION PROCESSING FEU FEE SEWER CONNECTION ******************************* PAYMENT gUMMARY PAYMENT DATE RECETPTC PHO�E= 509 �38 6270 PHONE NUMBER= 509 83� RIGHT= NA REAR= NA ****************************** QUANTITY 05/2i/9i TOTAL DUE= PERMIT [YPE --------- SEWER PERMIT PERMTT PHONE= FEE AMOUNT ---------- iO.00 10,00 **************************** 308S .0O TOTAL PAID= AMOUNT PAID 50,00 50,00 ----------- 5O.O0 FEE AMOUNT 50,00 50,00 ----------- 50.0O PAYMENT AMOUNT 5O.(:) 50,,n AMOUNT AMOUNT UWINC ----------- .60 ------------ .0O PROCESSED BYH WENDEL, GLORIA PRINTED By: JULIE oHATTO SEWER STUB A% -BUILT INFORMATION IS AVAILABLE UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD ELEVATION AND POSITION OF ,'.:.!EWER PRIOR TO ANY OTHER EXCAVATION A7 THF CO+!NrY ]CATE AND CONFIRM THE TG LOCATE BURIED CABLES, GAJ PIPING, WATER iINE%, FCT. CALL YOU DIG '456-600) SEWER 3TUB% ARE TO 8F CHCKED PRIOR lJ CONNECTION TO INSURE THr THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN ********* CALL FOR INSPECTION PRIOR TO COVER *********» ********* 24 HOUR NOTICE REQUIRED ********** ******** 456-04 ********** *****«**+********«************** THANK YOU *****************************^»+' lAcrq-4�~[-� '^\ yl&/ �� 1-^ \"��ut~�y- � -- ' '^-- -- ' � - « t. NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION — prior to the installation of drywall. 5. PLUMBING — after rough -in, before covering, and final. 6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issurance of a Certificate of Occupancy. In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: • road cuts for utilities or drives, State or County Engineer's Office 456-3600 • on-site waste disposal system, Environmental Health District 456-6040 • construction in a flood plain, County Engineer's Office 456-3600 • electrical wiring, State Department of Labor and Industries 456-2792 • sewer connection, County or City Utilities Department 456-3604 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations — please call us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this permit. 0 5 - 2 1 - 9 i 4 (J, 5 0. 0 0 Y_ * * r, 0 0