1991, 12-11 Permit App: 91008535 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- 9-1008535 APPLICATION DATE= 12/i1 /91 pAGE. c).1
..::..i:yr-;t. i .t.i- : WTI ; !a?:'. 4•i::.Ei::S'. :::'D PrIR i..�:i,.ii''i}'•iEi`:t'i., NE.v 1xiOt•?'i<, WITHOUT r=: PERMIT
99206-
PERMIT UEr r. CONNECTION .... EOUTH K 1 i"f ;M O (91E—i25
PLATO- 000376 PLAT NAME= CHEETER HILLE HEIGHTE
BLOCK= LOT- ZONE- AGR,.
OWNER- IRON, JOHN PHONE=
. STREET= 3208 E ..32ND AVE
ADDREES= EPOKANE WA 99206
CONTACT NAME- f't?...W A T E ACTIVE — SLOAN PHONE NUMBER= 5t:?9 922 8500
RiiflOTNF, ;'?_-' FRONT=i ii'v'y'= t'-,':/r.:! i j':. RIGHT=" ... N:'r''; REAR= N/A
*F+:K:!?•*97 g?•:!?•.t,:.y,.rlr•.pi":G'Ai*:}rr R':Jh it..t?..!?•'i?-'Pi'P:**iuj:y(.:J, SEWER p?::.R Y'i-, ? •tai•F:•**•Pr 3r*.l,r•){..b..*.j!..j!,.j!,,,,,.j},..ti•**-Ar**in.--Pr iY*;i:lir i•ii!r
t.,i.?1`•' ? 1'i i•'}t-: i l.-;1':..... ALWAYSACTIVE PHONE= 509 ••` +':0
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
SEWER CONNECTION A
40 ,00
PERMIT _/:'i.._ I"i::..... r::it-MUNIAMOUNT PAID AMOUNT OWING
EEWER PERMIT 50,00 , 00
50 ,00 ,00 50, 00
PRINTED BY : DOMITROVICH , ROBIN
j:?ER STUB f..t:: ....}:s?.)Ii._- . ??' ORMA..1 .t.ON LE AVAILABLE AT THE COUNTY
CONTRACTOR OR APPLICANT rti,il,' s AND CONFIRM THE
ELEVATION rj ?`•,!i„! POSITION ..i F' SEWER STUB....PRIOR
'?'?I O R ... ANY; OTHER'
EXCAVATION
TO ?...±..fir:A I E ti; .. LINES,..
CALL BEFORE '(III,t ?_J -G (456-8000)
SEWER STUBS U?:5S E"iRE
? # BE CHECKED PRIOR
RtOR i ! CONNECTION 1
INSURE`t .i
THAT T? ? ? ARE CLEAR AND UNOBSTRUCTED TO "- iSEWER MAIN
-R : PYi :: CALL _ .I :1 # rPRIOR
.ttCOVER py *jtHjt*
tNtNF: Al24 HOUR iIi _ : I h
-P'***J1'P:1:*9?..!:.
+t'i+f I ,*•!'r iII** •;}5,i)....:3 6,'':'s:y **Y::*******
1,i-1'.-j'i.Pi:' ' 9t-.I'•P.•3G
J•::":9+:.}`y':.t,::!,..y,..,,.*:n::!':*9?-*:r.-•7k•J!:9?•9•.:n:.1?.fk 9?._!?.9?.J!..y..1!..,,..y,_.,!. THANK 't I„1#,-: :yt•!r N:1?.9Y.•Y.t!•`.t!-.}:*:!..:!':**:!,;;!,..y.*.J?..,!..!,..!.._!,.9t;?•;!-:o-9t•9t 4b 9+..!:..y:
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp,Final Report
Hydrant( )
Lock Box
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Engineer's RID/CRP
Easements
Road Plans/Improvements
. • •',
Bonds
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•
Planning Bonds
. , .
Utilities • Double Plumbing
ULID
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Other . •
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**************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANICY ONLY******************************
Date received for C/O processing: • Plans pulled for final processing: ,
Temporary C/O issuad.:, 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: