1991, 12-09 Permit: 91008237 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 mm 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 provisio • • 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= 91008237
/2/r/r/
ISSUED PERMIT DATE= 12/09/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2401 % %UNNYBROOK LN PARCELO= 26543-0202PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - EVERGREEN POINT (91%-100)
*** SEE NOTE ***
PLATO= 004388 PLAT NAME= EVERGREEN POINT PUD
BLOCK= i LOT= 24 ZONE= PUD DI%TO= F
AREA= F/A= F WIDTH= 55 DEPTH= 138 R/W= 30
OF BLDGJ= 0 DWELLINGS= i WATER DIST =
OWNER= W R % & ASSOCIATES INC PHONE= 509 922 0782
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BILL SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACK%. FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/09/91 9330 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------ ------------ -------------
%EWER PERMIT 5O.0O 5O.00 .00
------------- ------------ _____________
50.00 50.00 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A% -BUILT INFORMATION IS 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 PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (45-8OOO) ' ' ^
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3664 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Project # Use.
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning 1 I Bonds
Utilities
Other
Double Plumbincd-
ULID
Init:
(in)
Appr:
(out)
THIS SPACE:FOR COMMERCIAL: PLANS TRACKING, CERTIFICATE OFOCCUPANCY ONLY "*'"""""""""""""""""""""""""""
Date received for C/O processing:
Temporary C/O issued Certificate of Occupancy issued
Office file review by: Date:
Filed insp finaied by: Date.
Plans: pulled for final processing -
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plansDate:
Plans returned: Received by -
No response from owner/contractor - plans destroyed