1991, 03-13 Permit: 90004844 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT 1'T t..J Ml'•Et= 90004044 :[SS t "TPERMIT DATE= 03/13/91 PAI...,I:::::: ;)
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,_I I E STREET= 1505 S STANLEY RD i•'ARt-:1 L •„::: 23534-0212
ADDRESS= ,.F=iiKANE WA r'>:...t:i::?
PERMIT I T !.i;i
E:::::: SEWER
CONNECTION .... 'I...I::l A N ' ADDITION
)t••;,.•i{ S E E NOTE )t');•)+•
PLATO= 003187 F•`I...t'4T NAME= EI...rlAN.1 ADD
.:+...t.if::F;:::: •I LOT= t ::.t.IN'::.= A1.YSI.tI:, u.I.,::. I O::::
AREA= F-.i'AaE-:: F. WIDTH= 137 7 I:iE::i"`TI•'I:::: 102 t :`iAi=
:N• DWELLINGS= i WATER DIET r ::_
OWNER= COOK , WILLIAM I:AI's I:I..lOi`•ir = 509 487 4328
STREET= T reE STANLEY RI
ADDRESS= WA
99203
CONTACT NAME:::: TOM STONE EXCAVATING PHONE: NUMBER= 5ty , "t 10
BUILDING SETBACl S : FRONT=- NA LEFT:::: NA RIGHT= NA REAR= NA : ......
r r PP $ Pb ! F 1 ) ) NiPn R) t hL k hPR} f PASEWER rI = ! t PPiiM L9
X ;AE k JAJE*ait*nn; a ! nnis
CONTRACTOR= TOM :`.'TONE: EXCAVATING PHONE= 509 928 7710
STREET= 7 1 1 Y' I`'I it f i r•1 I::.F RD
ADDRESS= SPOKANE WA 99216
:r TEM DESCRIPTION QUANTITY FEE AMOUNT
I•'i'..U 1.:E:.,:`.��\.I.i``?l:x I•''i::.t:. '!' 10,00
SEWER CONNECTION 40.00
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n..n.1�•i�:..Nr•Pi N..N..N..!k-ni){•;a;Pi•}k•R•i�r i�:•hi lk•bi•}E-N••;�i•jti.k..A.t i•i'.•�Hi I••' L �3...
PAYMENT DATE E E::t:::1::.:rF' l ';I: PAYMENT AMOUNT
03/13.'91 1216 50,00
TOTAL DUE= .00 TOTAL PAID= 50,00
PERMIT .i.YE:'E:: FEE AMOUNT ( fO NI PAID A'rMl ii•.iN..r. OWING
SEWER PERMIT 50,00 ° x . 00 t
t
50,00 50,00 „00
t•`I•:I..++.r•,.r,:•I:D BY : JULIE SHAT IO
PRINTED BY : JULIE }'HATTC:I
:'EWER STUB AS...I•:d.Jl1..T INFORMATION ON :I:,' AVAILABLE A.T. .THE COUNTY
UTILITIES DEPARTMENT (s
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE .AND CONFIRM'RM HE
ELEVATION AND POSITION OF
. EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, E::1::::;'.
t_:AL_L. BEFORE YOU DIG (456-8000)
SEWER S U}: .. AF'..E. ..c:i BE:. CHECKED PRIOR TO CONNECTION '(i INSURE
THAT THEY ARE ( I...i-.A; AND L.iNt'.ils,'T I- tJi_TE::1."s TO THE ?EWER MAIN
x•)L•)!•*ri• :•)t•)!••u CALL I::'O E'' INSPECTION PRIOR TO COVER *•b:m:-'s: . '•u•*#;*
p)F•it)t)i•)i•)t)t,
; = HOUR NOTICE .=QJrr ~T ) k k N) ) ) ) h)
i : thk1; {k456--3604
*********y,
.,L.*:•r9L-•rr*x•r?,?••:f•*****)`i*)!•)?)t•******9t.*)l*k)tTHANK Y! t 4 i nt k n) N? 4t nh iiRt i ; ) P ?i93RPiri ! R P ?
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 ;
.„, .
. . . . .
. .
- , • •
.. • . . .
•.
Utilities Double Plumbing
ULID
•
. .
Other
• .
. . .
. . . . . . . .. „ .
—******"*"*******"—***"******THIS SPACE FOR COMMERCIAL PLANS TRACXING;GEFITI:FICATE OF OCCUPANCi'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: ; . .; .pate: ; ; . • ;
— --- —
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: