1991, 06-21 Permit: 91003499 SewerSPOKANE 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/applica • 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 w regulating construction, or as a warranty of conformance •th the provisions of any state or local
laws regulating construction.
SIGNATURE OF ( APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91003.99
ISSUED PERMIT DATE::- 06/21/91 Pf3f;f::-:: 01
•P: 3* 3* P: 3* 3* 3* * 3* h: •b: i* 3i• •k 3* 3* 3* 3* 3* 3* 3* 3* 3* 3i• 3* 3* •M 3* PERMIT :(:NFf:iR •iA TIC iN •?i• ii k •k •k• •ii 3G * ik * •it •n: •i{ •ii •h:• * * •n: st n: * * it• * •ii :• •h; *
SITE STREET= 2126 S SONORA ET PARCELi.... 25545-9059
ADDRESS= ti ERADALE AWA 99037
PERMIT USE= SEWER CONNECTION
3**3* SEE NOTE -ii•3*•i*
PLATO= 004499 PLAT NAME= R3: Dc;FMC:'NT EST NO4 2ND
BLOCK= 10LOT= i ZONE= UR -3„5 f T �"T O-:: I:�
AREA= C'000000 (-/A = F W:i:I)"1.1"1=: '12 DEPTH= 218 R/W= 50
OF BL..Dr;S:= i N: DW1:1...L..:E.NGS:::: 1 WATER DIST _: VERA
OWNER= i...c:IE::SS]:N , Sf::f:►7..i. PHONE=
ETREET= 2126 SONORA ST
ADDRESS= VE:RADAL..l::: WA 99037
CONTACT NA?E:COLUMBIA fC; 7F!(fiC; PHONE Nt-LEE-509 C 22 8114 i14
Bt.!:i:(...0:EN(:; SETBACKS: FRONT= N(1 LEi_..t_= Nr' RIGHT= NA REAR= NA
t x x*nM* 3 a 3 * *fi3* enx r k * Ak h i 3 �* i EW EFPERMIT iP.)3PbbRP3 k 333RAP{33�A3PRAPP
t"PP3
CONTRACTOR= UNKNOWN
S"1•F:I:::(:::T=:: UNKNOWN
NOWN
ADDR ;;'S::= UNKNOWN WA UNKNOWN
ITEM DESc::RisF'T3:CON
PROCESSING FEE
SEWER CONNECTION
PHONE=
Nl ::
QUANTITY FEE AMOUNT
Y
10,00
1
40.00
t >A3p* 3 * 3 * * *l3P* P 3 * * 0. * bA3A* YA3C PAYMENT ti(fi 3 L h{PPP3 3iPC k A1A{ Fk hA3Ah HPP N
PAYMENT I -"E RECEIPT* -"YME;T AMOUNT
T
06/21/91 4029 50,00
TOTAL. DUE= ,00 TOTf71... PAID:::: 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PA:i:I) AMOUNT OWINf:;
SEWER PERMIT 50.00 50,00 .00
50,00 50,00 , 0o
P Ri1i_.`•E:.,'.i J EIi BY: JULIE SHA I I 0
PRINTED BY : WE::iNI)E1... , GLORIA
SEWER STUB AS—BUILT INFORMATION i:fiN i:S AVAILABLE AT THE COUNTY
UTILITIES D(::.F'f F Ti-iENT (456-3604)
,-,t:)xi. )
CONTRACTOR OR APPLICANT IS TO F'IIE::i...I) LOCATE AND CONFIRM THEELEVATION AND POSITION OF SEWER Wis_R ,`.i T'i iB PR.i.(iR T(1 ANY OTHER
iii::.R':
EXCAVATION
TO LOCATE BURIED CABLES, GAS F'isP3:NG: WATER LINES, E:.c::T:.
CAL_L.. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BECHECKED PR:i:'.:lR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED 111 •T'i•ii:= SEWER MAIN
)' i3*3**3t•3';3;•3* f;A1...(... FOR INSPECTION E R:i:C1R TO COVER -JS•il••k•h.••P: i •P:**P:
3i• 3>: x 3* 3* 3t N• 3i N; 24 HOUR NOTICE REQt.!:EF E"D 3! ri- 3C- 3f- r• 3i• 3i• 3i• 3i n:
3*3*•iiin,3i•3i•3 •k'3* 456-»31604 -A:•h:3*•h:•3k3*-i*r;3*n:
********************************THANK `
you t.) 9t• 3* i* 3t' 4k '1F N' -/k 3* 3* 3L- 1;- •1* 3* 3k )* R• H: 3* 3r •Jt 1!• R• ik 'H• 3t 'R' 3!' Jt :p• 3* 3* 3*
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning:
Utilities
Other
Date:
Condition:
Project # Use'
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds.
Double Plumbing
OLID.
Init:
(in)
Appr:
(out)
******************************* 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 after C/O issuance:
Owner/contractor called regarding the return of plans: Date
Plans returned: Received by
No response from owner/contractor - plans destroyed: