1991, 12-02 Permit: App: 91008308 Sewer 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
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= rt }l ` 9: a
i) \•• _ 0
1
.,1` J'tt r THIS .!.:::• N O ;
WILL . ; 4 R P ; { 'k**** ,PENALTIES t : ASSESSED FOR COMMENCING WORK WITHOUT dPERMIT
i-..u is t'+'t pa.). , ,r.:i R I•E ,= 26544-02:24
,...r. v
PERMIT USE= SEWER CONNECTION .... :o t::..HMAN MICA . `KG 44 I,•.}r•f E..,iO
SEE NOTE *..}.
PLATO= 002748 PLAT NAME= VERA
LOT= +
BLOCK= �•�'-:::: ZONE= Iii i-°: ! Ir 'T......
00000000 F/t}= F WIDTH= T).-1.:Tj..j:::: ,., `W
OF .t'l...DGE= 7• .1wE::.t.......INGS:: -i WATER DIST ....
OWNER= BUNCH, PETE Pp.t{,:iVC',::::
2406
• i PROGRESS:•• ,,r 99037
.•.
ADDRESS
CONTACT NATME;:::. r.}i,j�•d,:ii{ i .s.t.,A CORPORATION PHONE NUMBER= .. :.�f. t 2 !`4
BUILDING ::r E... i Atd.t.:It,E . FRONT- N/A LEFT= N/A RIGHT- N/A REAR= i
•}i•*;;' i;•i*.;.,.:Jl;,p}.}t..} *:+:•..k'h.'•.....t...'..t.t:3i*..***'}I:'H: sEWER 1:r Y.m ********K************** ******
CONTRACTOR a ? + . : EdCORPORATION P. j` s . 509 536
STREET=
ADDRESS= •. t.:Oit W( 992J3
ITEM.t. ! t...i! l i..S; !:;•.I .. t 1 tl'+1 QUANTITY ".: AMOUNT
•
SEWER PROCESSING CONNECTION 's! .. _
PERMIT TYPE t"E::.E::. AMOUNT AMOUNT PAID AMOUNT
OWING
SEWER PERMIT 50,00 .00 50.00
50.00 . 60
50,00
PROCESSED i?olii:: RO ::oH ,ROBIN
BY : A Cji'iTT r t.:;:T:H•: ROBIN
SEWER ::. Tt.,B AS—BUILT ,INFORMATION_ .1..S AVAILABLE AT THE t i_. ...+.t U N s ,
i..? t .I.i...�.TIES D E::.3.:t.:i?'+. I E"!I::.E'''? E 45 6....:3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE 'AN.,i CONFIRM THE
•.
ELEVATION d"i t-4 1 POSITION O i.' SEWER STUB PRIOR TO t•,N•;d. OTHER
EXCAVATION
TO LOCATE BURIED t;;._?`{i...!.:.�. t 1_.;ra:; PIPING, WATER LINES, ECT,
E
CALF... BEFORE YOU DIG (456..-0000)
SEWER STUBS.. B,.. eiR(1 I_O ..t1. i_: I • •.I{i:.i) R
PIOR I rj 1 ONtiJE I ION Ng
1,I�'�E:';
THAT td'•i E-.. THEY,• 'i iE'RE::. CLETO
AND UNOBSTRUCTED TO THE SEWER WEE. !id I N
} ;a 4:-*n) x k CALL FOR ] .,.FCtro 1 P J PRIOR _ I COVER **} , *)1:*a* *
4i..** ***** 2 t E i..}i. t. ,a•., I i.:t::. i'; -(:,I.i.t.E.C,.? X-
**J{••}(•.}*7t•}i..}L.ji. -456.-3604 •}I:i*....:..i*...:;;.......:y;.
::.:'.:'.: ...'.:'.:'.:'.:'.:'.::.:'.':.:'.:•::'.; :t..]:.:1 it.::.:t.:,j.:,t.:i.:t.:N.::.: :-.*::.jt.*ii.:lt.::. :1:.:It.:'.:it.:1:..jj.:t :1..:+t.*
)..t!tl.1+.71 9t Jt!!.t+.1t t?t•.t!4: n h.t+.;:' •7L•9!•1;.N.j,,i{._.:.�(..It.:l;...+f.:!!-:+:• THANK 'd t..t i..1 :&1.., ..,.J.1.:.:.1.t. ..).1.Ji,.f. .. ..:... 1.:..... 1'....,.. .... :.
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
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: