1991, 06-05 Permit: 91003112 SewerSPOKANE 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 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
,','OJECT NUMBER- 911c.,?07112 I,7;SUED FERN,
DATE- 06/Y;/9;
3(11K pcRmTT T.NropATImq "P'sk**KKK***gMhX4**k'g*-0:
SITE STREET- 724 N Mi FETT-1 LN
ADDRES= SPOKANE WA Y77(:)6
IT USE- SEWER CONr:ECTION
x.1(-1 SEE NoTr
AREA-
PARcFL4-, 16547-07i.T.
- mOFFITT COHRT
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Mf.3FITT'S SUBif,',i5i flPP.
6 ZONE-
7
2 DIST,77=
F WIDTH:. 47 DEPTH.: A9 FOAA. ''4
WAT7- DIST :::. MODFPN
n,,INFR, TIIPP1:(5! l',N-: PHms1E. 75o9 92n i99i _
ADDREES-•SPOKANE WA 9,3'26
.:z1:.,0TArT :.,JAmE. RFN -rnPF,'7R Fur:NE NUmBrp. "(? 92R 19'21
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ri..kIrn= 1,!_:, iE77- NA RIGHT-
t))jij '..,:EWER puJITT *:.Vii.**X**R**********KNWA()1**
7.-iNTRACTOR- T,JPPER INC REALTORs fl<INE- 709 921 Y7;
STREET- 12?2? E SPRAGUE AVE
ADDRESS- SPOKANE WA Yi,2i6
ITEM DESCRIPTION-,
•
PRocESSTNG FEF
SEWER OONNECTIN
C::.UAVTITY 77F AMOIWT
4c).121G
*K:k*11.:Xki*K'!(KIC pAymENT Fft-imARv ...1.44.***.KX:Vg..401...K***
PA1LN7 DAT[ REI.:ETTI;- PA'rmENT 11i (!it
2' 70.n:-,
•r DUE- ..(*.". TOTAL PAID-, '50,00
PERMIT- TY;7-E FEE -AMOUNT AMOUNT PA.','D AMOUNT OWTNC
,.._ ...
SEWER PERMIT
50.00 .0
1qA1Vt15 .1LORIA
WENDEL, 6LORTA
SEWER TUB AS -BUILT INFORMATION Ig AVAILABLE AT "VHF Cf7.!INTY
UTILITIES' DEPARTMENT i!ia6-7604)
CONTRACTOR OR APPLICANT IS TO FIELD .f.y..;ATr Alin cONFIRM THE
ELEVATION AND POSITION OF SEWER TUT'q PRIOR TO ANY oTHE;::
7.XCAVATIO
D LOCATE BcRIED CABLES, GAS.PTIG, J4iFZ. LINES,
::,ALL,BEECPE•YOU DIG 445.6.--5000)
SEWER STUBS ARE TO BE CMEOkED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWE MAIN
FOR INSPECTION PRIOR TO COVER
24 HOUR NOTICE REQUIRED *********
456-7604 ***Ki**X:JJ:
1..
1***X***R**Ak THANK Tu i**KX***3E*3iK******.kaik*
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use.
Dept:
Date:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
OLID
!nit:
(in)
Appr:
(out)
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-