1991, 01-23 Permit App: 91000228 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
P!.t.#:.1i::f.'! NUMBER= 91000220 PATE=
01 /2$/9? PAGE=
01
APPLICATION
* a�.:}:..t,,j:.j.. j...j:.*ji.�.;:,t;r....j,, s,,.)f;...y.:,{..j..:y:•jt•1t•)f•** APPLICATION ......j.. :,`•:R•.}f.A...**j f*}i..,:.***1?•:R-:u,-ii•:,•j;..,}.*.jf:!t• )!•P:P:
SITE >T ! . t . ~ } IlrRD PARCELO= 24541 -9014
ADDRESS= 1=1...Rf±x•Af...t:. WA 90037
PERMIT 1 ; LWSEWER CONNECTION - GOOD ;A' attAfEXTENSION
*i * SIE NOTE
i...j£-*
#''?._t.a I y,:=. 99999 PLAT NAME= t".AfQist::.
BLOCK= I...t.1 i :::: ZONE= f.:±fs!'!.I !.%.i.:t .,,..... f..
AREA= t:, 1 1... ..0-# 1../A= j••i WIDTH= DEPTH= R 1!Ai•'�:
E„i t B i,i G 4:: Ts)tall 1...i.....ra[. ....
OWNER=G:.f' = O ' 1l:A , PATRICK PHONE=
E=
€ 1(!'±::E f':: `.}02 .'i'1-i:::N j� I)
ADDRESS='+. •,,:-: ,1E:.t•iA1j±t...E WA 97037
CONTACT NAME-:: DONNA t.:t,-tuE!:C;Hr !! r.,,i.. i .I?,i }- NUMBER= 509 .924 5405
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
t . . Fi . : : i .: !" .jPT . . . .. .. REVIEW IiR A I_ . **************:k***********
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
UTILITIES CONNECTION AGREEMENT REQUIRED
jd? 4 Pi {i : ; .fi.4/ A ! "3 j . t j {N*PSEWER RE "r . 1 :1,-::q.:”.:***************************
CONTRACTOR=
( NT. x :_ t, ;iH !: IriN _ CONSTRUCTION PHONE=NE. ) jy9 ±t5405
:j..1RE:1E:t'= 16402)2 F VALLEY Li A Y
ADDRESS= VERADALE 14A 9903
ITEM ?I : : ! ± h ? „ N QUANTITY FEE AMOUNT
}{ N
PROCESSING FEE 'i 10:.00
SEWER CONNECTION j 40 , 00
PERMIT TYPE a::. ?: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER 1='ERt`'5IT 50,00 50.00
c-�••
0
50,00 .. 5
00 50 .00
PROCESSED f S t::.i} i:t { : iaiEi'ii.'rEI...; GLORIA
PRINTED (:i'T : tr!t E N t E?...; GLORIA
SEWER STUB AS—BUILT INFORMATION TS AVAILABLE AT THE .i.:1 i'? t 'T
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR
tu ,st7tR OR APPLICANT
PPI ) N1TO
FIELD OCiE AND CONFIRM THE
ELEVATION 'N3 POSITION til SEWER . if : PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE E ,.5Ut•'':.f.ED CABLES, GAS PIPING, WATER LINES', ECT.
CALL: t1BEFORE
rF R- Y !tD ± _ ( 456-8000) —
SEWER
q. ,- )t : )l .AItsTt; ARE TO BE CHECKED
..'F ± ' H—
''f CONNECTION TO
l
` S ? il
THAT TH: Y " 4ECLEAR AND UNOBSTRUCTED THE - 't ' ` "A1 #
AAAPP1tPCALL FOR
INSPECTION PRIOR TO•f::t f:,OnEI:,° : 4********
);•}t..ri.*•'rr s!:•r':Tr n- 24 HOUR NOTICE REQUIRED i=:•::is•tr*it-*it•:::::
'.:..:;..-•t,,:,t:!:•• 456-3604 :,1,.j=...*•l...j':§:":*:":._},:
1 3 *:•..' :.:.:•t.::.***:::•.**:t:: 4*************** *************:
!'.P.11!t j,;jl}�j,.a..}..}, }r }' }t }t !!},}.,R;}t-:'}•:H:9'.tp H•i'F 9•.•)?.j;.�,.yy..1,. THANK#�:t•v,� #,.t:_ }
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: |ni\: Appr:
/ |
(in) (out)
| |
}
Dept.of Bldgs
' Special Final| -- �
Hydrant( )
Lock Box
` ` .
• --'
, . *� •
--�
Engineer's __ RID/CRP
—_� Easements
•
Road Plans/Improvements
Bonds
Planning Bonds
~
` --
}
Utilities Double� ! --' DouWeF1umbing
ULID
^ ,
. '
Other
| --
i --
'
^`^~~~~~``~'`^~~~'~^~^^~^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY~~^``~^^^^~`~~~~'```~`
Date received for C/O processing: Plans pulled for finalprocessing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: _ ___ . Date. .. ^
Filed insphnatedby: .Dote.
Ninety days afteC/O issuance:
r called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor plans destroyed:
.14
i : . A.
its
S POKA N E 17a �h ;Age U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
Com,
f'D
INVOICE
DATED: January 24, 1991
TO: COURCHAINE CONSTRUCTION
East 16402 Valleyway
Veradale, Washington 99037
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
01/24/91 South 202 Steen/91-0228 $ 50. 00
Amount due and payable $ 50. 00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to February 3, 1991 . Failure to
remit this amount on or before this date will result in a double fee
being assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703