1991, 01-24 Permit: 90006446 Sewer SPOKANE COUNTY DEARTMENT 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 correctand authorize SkCounty to proceed with processing. In uum I have read 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 NUMBER= 90006446 ' �TE= 01 /24/9i PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12614 E %ALTE%E RD PARCEL4= 27542-0911
ADDRESS= SPOKANE WA 99216 -
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= OOi22O PLAT NAM = HILLCR %T PARK ADD
BLOCK= i LOT= ii ZONE= AG%UB DI%T4=
}OOO - '^ = - WIDTH= DEPTH=
= '
OF BD Gr= i - `-� DWELLIuG%= i ~^~ ' '' DEPTH=
OWNER= V ALL, JEAN PHONE=
STREET= 12614 E %ALTE% E RD
ADDRE%%= SPOKANE WA 992i6
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHATNE CONSTRUCTION PHONE= 509 924 5485
STREET= i6402 E VALLEYWAY
ADDRESS= yERADALE WA 99037
ITEMDE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40 . 00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
0i /24/9i 327 5O...OO
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 50.00 5O.1.1O .00
------------- ------------ - ---------
5O.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : jULIE %HATTO
SEWER STUB AS-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES: GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR-TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR- TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
°
SPECIAL CONDITION CHECKLIST
Project
Address:
Project# Use:
Dept: Date: | ' Condition: !nit: Appr:
' � |
(in) (out)
Dept.of Bldgs
! . |
Gpeuia| |nov 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 OFOCCUPANCY ONLY`~~^^~~^^`~~~~``^^```~``
Date received reoo*eukxC/Opmnonang: 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 plans destroyed: