1991, 07-03 Permit: 91003890 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 tru
and correct, and authorize Spokane on nwm proceed with omommmo 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 • _ A DATE
ma �
. �
PROJECT NUMBER= 940O389O ISSUED PERMIT DATE= 07/03/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2323 % TIMBERLANE DR PARCFLO= 25542-0704
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — RIDGEMONT ESTATES NO4 j %T ADD
*** SEE NOTE ***
PLAT4= 003746 P NAME= RIDGE:MONT ESTATE S` NO4 1ST
BLOCK= 4 LOT= 1 ZONE= UR-3, 5 DI%TO=
AREA= F7A= F WIDTH= 425 DEPTH= 115 R/W= 50
0 OF BiDG%= 4 DWELLINGS= i WATER DIST = VERA
OWNER= TUPPER INC PHONE= 509 920 4991
STREET= 429295 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= KEN TUPPER PHONE NUMBER= 509 928 4994
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TUPPER INC REALTORS PHONE= 509 928 199i
STREET= 42929 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99246
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 40 ,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATF RECETPTi!: PAYMENT AMOUNT
07/03/91 4385 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .0O
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 . O0 50.00
------------- ------------
50 ,00 50,00 5O.00 .00
PROCESSED �ENDEL
, GLORIA
PRINTED BY : JULIE ^HATTO
SEWER, STUB A%—BUILT INFORMATION IJ AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I. TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIEDCABLES , GAS PIPING, WATER LINES, ECT .
— `^ CALL BEFORE- YOU DIG ( 45 -8OO) '
SEWER %TOB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 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_
U L I D
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: