1991, 07-23 Permit App: 91004241 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 saidpermit/applicationmt,uo
and vo,nmtand uumo,/zeSpokane County to proceed with processing, Inaddition, I haveINSPECTION
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= 91004241 APPLICATION DATE= 07/23/91 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
------__--------------------------------------------------------------------
SITE STREET= 6O3 % SUNDERLAND RD PARCEL4= 20542-1308
ADDRE%%= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - 8802
*** SEE NOTE ***
PLATO= 00t368 PLAT NAME= KELLOGG PARK %UB
BLOCK= i LOT= i ZONE= AG%UB DIJTO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/wt.:
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
' |
OWNER= %PRAGUE PHONE=
%TREET= 603 % JUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDINC, %ETBAGK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CON%TRUCTIGN PHONE= 509 926 8964
STREET= 11817 E -VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DEJCRIPTIGN QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE FEE Y 10 , 00
%EWER CONNECTION' i 40 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID OUNT OWING
EWER PERMIT 50.00 .00 50.00
. ` ------__----- ------------
50.00 .00^OO 50.00
PROCE%%ED BY : JULIE %HATT0
PRINTED BY: JULIE %HATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO-FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% GAS PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (451-80OO) ' ' ^
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THEJEWER MAIN
********* CALL FOR�INSPECTION PRIORTO COVER **********
*�******* u
24 � UR~ NOTICE REQUIRED **********
********* **********
******* ************************ 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
`"""""""**--- "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: --