1991, 05-02 Permit: 91001037 Sewer . �~
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SPOKANE COUNTY DEPARTMENT OF BUILDINGS
0� 13M3BROADWAY AVENUE
' �POKANE,WASHINGTON gS260
(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 Sokane Conty to proceed with processing. In additionI have u and understandm 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 NUM:GE R= pj0OiO37 I%%UED pERMIT DATE= O5/O2/pi pAGE= Oi
* ******************* ****** PERMIT INFORMATION ****************************
. ,
.ITE STREET= 3305 % RAYMOND RD PARCEL4= 32541 -0606
ADDRESS= SPOKANE WA 99206
PERMIT U%E= %EWER CONNECTION •••• %OUTH KOKOMO
/ *** %EE NOTE ***
. .
PLATO= 000382 PLAT NAME= CHESTER HILLS ADD.
BLOCK= 6 LOT= 6 ZONE= .,.....'1::-1:;: ^ DI%T�= F
AREA= OOO�O8OO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= I WATER DIST ='
OWNER= HOLME%, KEITH PHONE=
%TR[ET= 33O5 % RAYMOND RD
ADDRE%%= %pOKANE WA p92O6
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922' 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE ' PHONE= 509 922 8500
. STREET= PO BOX 14i562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
. PROCE%%ING FEE Y 10 .00
k SEWER CONNECTION . 40 .00
** *************************** PAYMENT %UMmARy ****************************
PAYMENT DATE RECEIPTO PAYMENT AmOUNT
O5/O2/9i 253O 50.00
.
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 . .00
------------- ------------ -------------
50.00 50.00 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER %TUB .A%-BUILT INFORMATION I%AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456_36O4)
A R OR APPLICANT I% TO FIELD LOCATE AND CONFIROJHE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
' EXCAVATION
.
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
��
CALL BEFORE YOi ` DIC 45 -8OOO> ` �
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT
IHEYARE E R %TRUCTED TO THE SEWER MAIN -`
********* CALL FOR INSPECTION PRIOR TO COVER ********** �
********* 24 HOUR 'NOTICE REQUIRED **********
********* 456-3604 ' ********** ' ,-' `- "
******* ******** * *
*** * ********* THANK YOU ***********************�*******�*
I ` '``�
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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/GRP
Easements
Road Plans/3mp.rovements, •
Bonds
Planning Bonds
Double Piv
Utilities m.Iainm:
ULID
•
Other
`*"*******"********** * '•, Tki:I:S+SPACE FOR COMMERCIAL PLANS TRACKING,CP•RTIFICATEOFOCCUPANCY ONLY* """"'°""°'*'°"""°'
Date received•for C/O rocessin. :. • Plans
p g pulled.fior fiinatprocessirig. :.. _-- -�--
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: