1991, 12-18 Permit: 91007015 Sewer a..�. rumrtrr.aFe err►
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 Nt,;t"BE•}i= 91007015 ISSUED... ......D PE::.E I'' A, 12/1e/91
'F:it 3'•'t+i Jt•9 tR t?•'}t•1t':}:•i+;***4t•***i!•*•} :+E»•r••r•.•*•rt' PERMIT INFORMATION x'r?'*it'*:n•:}+::+':9+.':+'::0.•'k'?t't:it'*;x-9t•;u•p-•tt.;n 1i-ji•;li•;+r ji.:,:.
SITE STREET= 3026 S RAYMOND
i R Pe RCE:.L4= 29544-0903
—0 j't'}.,^.
ADDRESS= SPOKANE WA 99206
PERMIT t..?,.t••.= SEWER CONNECTION .... SOUTH KOt'.i,:ii"ii,E
»•} ; :?E E NOTE ,t.,,...
PLATO=t •v:._. 0003 ! PLAT NAME= t`HEt. ([:R HILLS HEIi. •i••t•,r
BLOCK=
_O - :. T LOT=
-T: ., /..tr,r,..._ "t, 1 - I ' « .
AREA=A= I /A= Ir WIDTH= 100 DEPTH= 145 R/W=• ., t'i
WATER DIST =
OWNER= STAMPER; VICTOR PHONE= 509
0` 928 9093
STREET= ti+"y02RAYMOND t..S.i":•
ADDRESS= SPOKANE WA 99206
CONTACT
NAME=
SETBACKS :
- "} . :
PHONE N ^FC 509 . . 6760
BUILDING :t - nCK FRONt - : LEFT= NA RIGHT=
NA REAR= NA
i nia3i ; y*»A } k»* tit :n» 6* : ; ui {iSEWER C:` . I ;v;*.j;..jR.*.jt.:u..M;.j;.g.*.s:'n:.ji..,..a: +:'!{.:..i+:•n*ii i•*•n:'it•i{•'}i•ii
.. N! t�j C1 ,,,Q f.,t.? 1,.. } i,.;i i i.:t AO? PHONE= 509 927 6760
! I":EET::::- 1 _' b-i 6 I:: 12TH AVE
ADDRESS= SPOKANE KNE WA 9..21 6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING ING F`:.E V 10,00
SEWER CONNECTION i
40.00
Ft k 7sDk " F ; xy ; 11pP: : k N"k 4# *PRi B3 *
A Y " . N . SUMMARY
t " Fff tnr nn: t9yFk i par tj ! i !; nP
. yt ,
PAYMENT DATE it _Ti4 PAYMENT AMOUNT
12/18/91 9533 50 .00
TOTAL AL Dt.iE= ,00 TOTAL I AL i"'AID:::. 50,00
_,.
PERMIT TYPE {..t:.t:: AMOUNT f i r't I t i i�-� t PAID r•"•ij`'Si ii..;N# OWING
SEWER PERMIT 50,00 50,00 ,00
50.00 50.00 .00
PROCESSED BY : jULIE •:-•v:
PRINTED BY : l?OF`tITRiO1'Il.,i':, ROBIN
SEWER u ! : r S. . j IL I , t„ : RMAT I. N y k AVAILABLE AT I '
It
UTILITIES ?.?t-.t•?f•.. 't. ! t t:_. (416-3604 )
x
CONTRACTOR ORAPPLICANT
t " TO FIELD*STUB
LOCATE ANDCONFIRM
; NFIRM
THE
IE1 " t . kAND POSITION OF-SEWER ItEt1t ANY OTHER
EXCAVATION
v,tR 7
, }.t LOCATE .'i{t!: .!:.D t :F•i D;5 I !•:. : tv)f-t,: !•' .I.E-3.I.z% WATER, t...INET,. ±'�t�•�•n
CALL BEFORE . OU BIis k4e (:? 8!:%;,w)
SEWER STUBS UB,• ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR ANDDUNOBSTRUCTED TO - i SEWER
MAIN iIw
; ;: . ti .. INSPECTION PRIOR TO COVER » {r» rriiia
N
-d HOUR r•Q1 t } .t,,-, REQUIRED 4(•ih k••}`9t 9+:N=it-d:N'
94.9k Jt•ii'}4'•}+:7t:*'A• 456.-3604 ';!:*;q:.„...j,,i}:.jt..h..1?'3+:
********** ***********K********* THANK :OI; Yr tl'*}F 1+r 1'r*;e;•r•K jt••}:;y ji-ii-fi--*3 i'3 li•1'i i+t')'i•}h t *:i-ii.ji. ,jr:.i-
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 s 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: