1991, 04-11 Permit: 91001671 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/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= 91001671 ISSUED PERMIT DATE= 04/11/91
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE STREET-•: 2417 S SUNNYBROOK LN PARCE.L..O:=: 26543--0202PTN
ADDRESS= VERADAI..E WA 99037
PERMIT USE= SEWER CONNECTION - EVERGREEN POINT FUD
*** SEE NOTE ***
PLAT;:= 004388 PLAT NAME== EVERGREEN POINT PhD
BLOCK= 1 LOT= 20 ZONE= PUD D:ESTO=• F
AREA= F/A= F WIDTH= 62 DEPTH= 138 R/W= 30
v.OF BL_DGS=: DWELLINGS= 1 WATER DIST
OWNER= W R S & ASSOCIATES INC PHONE= 509 922 0782
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BILL SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT:::: NA LEFT= NA RIGHT== NA REAR= NA
***************************** SEWER PERMIT *************x*********•>r**** •*
CONTRACTOR= W R S & ASSOCIATES
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 922 0782
QUANTITY FEE AMOUNT
Y 10.00
1 40.00
************•****************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTA PAYMENT AMOUNT
04/11/91 1953 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE
SEWER PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
SEWER STUB AS -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 PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL.. FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU*******it•*************************
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept: Date: Condition:
Dept. of Bldgs.
Engineer's
-r— j i ...?' 4 1
Project # Use.
Special Insp. Final Report
Hydrant ( )
Lock Box _
tij..i:.
!nit: Appr:
(in) (out)
' F#tL7%�Rp
Easements
Road 1.PliftnsTlm�to've1rY*grgt "
Bonds
Planning --. (_ 1 Bonds
•
Utilities_ t'' Double Plumbing
Other
t`,
M `; •
ULID _ ..__. ...
i;.
******************************` THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCGUPAta3YIJNL**:''*****************`*********
Date received for CIO processing:
Temporary C!D:gsstr.ed•: , .,: 00:1
Office file review by t `' +'F ,i.t ;'
,.
lairitiltedi.e4 final pr'ooesSirsq `
Occ
.: ' y ';i Cie tijrgte'of upancy iesu d
•
e.
"•1111,. .41
Filed Insp finaled by: ,. ,,. ,,. ,i ... i y , (Dtu ; ; + y t ,
Nlitiel days,after•CA issiiai•rae •1 i
Owner/contractor called regarding the return of plans:
Plans returned
No response from owner/contractor - plans destroyed
Date: _^_.______
Received by: _ ____.