1991, 02-06 Permit: 90006711 Sewer 4 -
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 Svxono County to proceed with processing. In umn I have u 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= 90006711 DATE= O2/O6/9i PAGE= 81
I%%UED PERMIT
**************************** PERMIT INFORMATION ****************************
- .
%ITE STREET= 1310 N %KIPWORTH CT i6�42-2i08
ADDRESS= SPOKANE WA 99206 .^
PERMIT USE= %EWER CONNECTION
*** SEE NOTE ***
PLATO= 004159 PLAT NAME= ROBINEON ADD
BLOCK= l LOT= 8 ZONE= AG%UB DI%T�=
AREA= OOOOOOOO F/A= F WIDTH= 96 DPTH= 4 R/W= 5O
0 OF BLDG%= i 6 DWELLING%=
OWNER= CLAYBURN, JACK M PHONE= 509 445 1618
STREET= %TAR ROUTE 2 BOX 20
�
ADDRESS= CU%ICK WA 99i � 9
CONTACT NAME= ABLE EXCAVATING PHONE NUMBER= 509 325 364�
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ABLE EXCAVATING - PHONE= 509 325 3645
%TREET= 2304 W BRUCE AVE
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y i0.00
%EWER CONNECTION i 40 .00
******************************* PAYMENT ****************************
PAYMENT DATE RECEIPTS PAYMENT AMOUNT
i2/20/90 8153 50 .00
------------
TOTAL D! .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50. 80 50 .00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TOLOCATE BURIED CABLES, . GAS PIPING, WATERLINE%' ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE O` BE CHECKED PRIOR, TO CONNECTION TO IN%URE
�^~^'`T~ ' ~ R�'`^ TO' BE TO THE MAIN -
' '''' ' ''^ ' ARE CLEAR�� AND -�' - - � - - - - -'-
********* CALL INSPECTION PRIOR TO COVER **********
] ********* 24HOURNOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
)
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 — Double Plumbing
ULID
Other
•
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY 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: