1991, 04-22 Permit App: 91001968 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
I"1'+:[ ,i i::.;.....i NUMBER= 91001968 APPLICATION DATE= 04/22/91 i•-A1.,,.• .. 01
Ji•ii. *li'*
THIS • ; NOTPERMIT A
k lis il
PENALTIES WILL BEASSESSED roR
COMMEN0I G WORK WITHOUT
A PERMIT
• SITE STREET= 3111 RAYMOND !..:.!.R 'r4!•:'..:!::.!...-r.•_.. 29544-1005
ADDRESS= SPOKANE WA 99206
PERMIT _ ;! WSEWER ": NN .: IIOy / CHESTER IL ! S
j?';t?•* S;::.::. NOTE E 9t:. :.
PLATO= 0t:10•_'; i'6 PLAT NAME= CHESTER! !._I'S H.I:L..L.., HE I:I i••. I -:
r.'i t"-:I f"i:::: !.. ;A= WIDTH= DEPTH= �;/�4-:: ,. 0
0 O1" !•!1 Til» ' °!' f1taiE, , ! N(, :, 2 WATER
R D2-+} I ....
!.,iW!v,t::.;'c::r. ALLEN, BILL !PHONE= .?t:}�? 924 9470
3? i
.1 RAYMOND I:::::I:R
ADDRESS= SPOKe!N1::. ;.•.i`.. 99206
CONTACT NAME= ,.?f'-11''I L:.` I`t 1::..I.1...:::1.t!'j PHONE N..1 .. .r,':^: 509 t:J'•Y ,::.-t'i 6077
BUILDING SETBACKS : FRONT= NA LE E = aA . .t.s9i••IT::- j•,jr•'s REAR= NA
KK*************************** SEWER PEI'.!"I.I. I lar K-Pi*'i** h is* !i iti'1ti'Pi a'*•Pi**K'P:-41" k*:k*:k'1}:
CONTRACTOR= ..!:.I";: II CONSTRUCTION il..ii'•,!I::.::: '!:f':>` 924 6077
STREET= -1 1r;• ?.:1.'? 1:: VAIEFYWAY AVE
ADDRESS=•' cis i <AP?E WA 99206
ITEM DESCRIPTION QUANTITY ;"!.:.I::. AMOUNT
PROCESSING `'E E `f' 10.00
SEWER CONNECTION 4000
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50,00
50.00 . 00 50. 00
PROCESSED BY : jOHN LARSON
PRINTED T•E::i.j .:=`7 : ._i : I-N ....i"!i.``;.:N
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT_j. T#..I E COUNTY
UTILITIES DEPARTMENT ?.4:::6—t ;,0::
CONTRACTOR OR APPLICANT
( ' 'LI ?AN f IS TO
FIELD
I : _ . . ! ,I !f . CONFIRM E
ELEVATION
E; A I + i " .i ' r " i _ ii., ii SEWER-STUB
PRIOR TO ANY OTHER
EXCAVATION
1I! LOCATE BURIED CABLES : GAS PIPING , WATER .....I.NI::.,:': , ECT.
CAI ! BEFORE YOU DIG (456-8000)
SEWER STUBS 1..!B::: ARE. : I,1 BE CHECKED ,' •]:c:Ilt TO CONNECTION TO INSURE
THAT
! ,..A ! t HE:.•t ARE CLEAR AND a ii=i.iT:+,.; I !4?.I..: ! E:.>: TO ! I-II=. :SEWER MAIN
N
1:•*:ti'a.:n:*Iii p., CALL !'•I i R INSPECTION I'Etisis il TO t i i..:!..I:,;!::.I•; •i>:ai fir•P•ii:3i•hr•ii••i' •i'i
****41:**** 24 i 1..1;.}i.)I'•: NOTICE `4''.I I .I.r`•:. t,i ****K*****
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SPECIAL CONDITION CHECKLIST
Project
Address: Project#___ — _Use: —_
Dept: Date: Condition: Init: 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 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: -