1991, 04-10 Permit App: 91001723 Sewer SPOKANE COUNTY DEPARTMENTOF 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 correctand authorize Sokane Conty to proceed with processing. In omu I have read and understandm 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
DATE= 04/ ', 0/91 PAGE= Oi
****** THIS IS NOT H PERmI7
PENALTJE% WILL BE A%%E%%ED FOR COMMENCINi, WITHO!1T A PERMIT
sJiL SlRhEi -%TREET= 623 % %UNDERLAND RD pARCEL4= 20542--. 306
ADDRESS- SPOKANE WA 99206
PERMIT USE= %EWER CQNNECTION FOR KELLOG
***
SEE NOTE ***
PL 4= 00i368 APARK
BLOCK= 1 iOT= 3 ZONE= AGJUB :I%T4=
AREA= - F/A= WIDTH= PTH= R/W=
4 CF BLDC%= i 4 DWELLINGS= i WATER DIST =
OWNER- WRIGHT ':,AR PHONE=
JTREE-= 6~� � JUNDERLAND RD -
%rO<ANE WA 99206
_ i _
CONTACT NAME= GOBER% EXCAVAT�NO .,,HONE MBER= 509 924 572
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA `
************„ **************** %EWER PERMIT ******************************
�O GOB FUE[ & OI� PHONE= 509 924 ��72
CON y
i�2i5 E TRENT
. STREET=�
-AD %='JPOKANE WA 99206
_ _ � -
—ITEM DESCRIPTION QUANTITY -) )..EE. AMOUNT
--�---------------------- -------- -_--------
FROCESS
ING FEF Y - ~ i O . 00
• SEWER CONNECTION I 40 .00
- / PERMIT` TYPE FEE AMQUNT AMOUNT PAID AMOUNT OWING
- ------��[ ------ ------------- ------------ -------------
-- EWER 50. 00 . 00 50 .00
, ------------- ------------ -------------
' ' 5O. 00 • . 00 50 .00
: JOHN LAR%ON
JOHN LAR%ON
. |
SEWER STUB AE-BUILT INFORMATION I% AVAILABLE AT TpF COUNTY
UTIat:PARTMENT (456-3604)
' CONTRACTOR OR APPLTCANT-I% TO FIELD LOCATE �A -CONFIRM ' THE
ELEVATION- AND PO%ITION OF %EWE/l %TUB PRIOR I0 ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES,' ECT .
CALL BEFORE YOU DIG (456-O000)
EEWER ETUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT TNE �EWFR MAIN
********* CALL FO N PRIORTOCOVER **********
*******m* 24 1-iOUR^N8T,1GE REQUIRE ********
********* 456-3604 **********
THANK YOU ************* *******************
.
` ^ �
, . |
^ /
SPECIAL CONDITION CHECKLIST
Project
Address: _ — Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
_—_ Hydrant( ) __—
�______ Lock Box
Engineer's___ RID/CRP
_ Easements
Road Plans/Improvements
Bonds
Planning Bonds _
Utilities — Double Plumbing
ULID —
Other
.****** *****.*********THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY******************************
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
_.__— ______Plans returned: Received by:
No response from owner/contractor-plans destroyed: _._
.
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I C Nb�
S F' O K A N E r, " i,.'-'� ��a '14.2 C O U N T Y
$ i f 1uc.
DEPARTMENT OF BUILDINGS • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L.MANSON,C.B.O.,DIRECTOR DENNIS M.SCOTT,PE.,DIRECTOR
INVOICE
DATED: April 10, 1991
TO: GOBERS FUEL AND OIL
East 11215 Trent Avenue
Spokane, Washington 99206
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
04/10/91 South 623 Sunderland/91-1723 $ 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 April 20, 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.
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY•SPOKANE,WASHINGTON 99260-0550•(509 456-3675
FAX(509)456-4703