1991, 04-30 Permit App: 91002129 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 com / ith same.All provisions of lu ordinances governingthis ,work willoo complied with whether specified
herein or not.I understand that the issuance of this permit/ap // nonanuunvoumm«uonnnonootionupvnovamor Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisionof any state or local law regulating construcon,or as a warranty of conformance with the provisions of any state or loca
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
NUMBER= 91002129 APPLICATION DATE= 04/30/91 PAGE= Oi
****** THI% I% NOT A PERMIT ******
PENALTIE% WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
- ----
SITE STREET=%TREET= 716 % SUNDERLAND RD PARCEL4= 20542-1228
ADDRE%%= SPOKANE WA 99206
PERMIT USE- %EWER CONNECTION - 8802
*** SEE NOTE ***
PLAT4= 001368 PLAT NAME= KELL066 PARK %UB
BLOCK=
2 LOT= 5 ZONE= AG%;B DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 50
4 OF BLDG%= i 4 DWELLING%= 1 WATER DIET =
OWNER= %UNDERLAND PHONE=
%T..EET= 7i 6 % %ONDERLAND RD
ADDRE%%= %POKANE WA 99206
CONTACT NAME= TLC PHONE NUMBER= 509 927 6760
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******* ******************** %EWER PERMIT ******************************
CONTRACTOR= TLC CON%TRUCTION PHONE= 509 927 6760
STREET= 13816 E i2TH AVE
ADDRE%%= %POKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-�---_-------_- ------------- ------------ -------------
SEWER PERMIT 50 .00 .00 50.O(:,
------------- ------------ ------ - ---
50.00 . 00 ' 50 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB AJ-BUILT INFORMATION IS AVAILABLE ^T THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PQ%ITIONOF 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 CHE KED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBETRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED ' *.K*********
******* **********
*** ***************** **** * **** THANK YOU *********************************
.
^ ~
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
4 _ — Lock Box
Engineer's RID/CRP
Easements
Road Plans/Improvements
— Bonds
Planning Bonds
Utilities Double Plumbing _
ULID _
Other _
""""'"'""""""`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: