1991, 08-05 Permit: 91003053 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 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
P R_ EtT NUMBER= 91003053 tiS ': PERMIT DATE= 08/05/91 : a Y = :
, #
:,,...;,;•a:i+:a R..;,..:.:,i'a n:•;r a a it a.:•a•....i+:a..........a ii. "' INFORMATION
#"::. l. .. .
*'ll••iX a a a a a*a av;a•p•a*•N•a•P:*3i•A:it a 94••A•R•a
SITE STREET= 1808 : UNIVERSITY RD P'ARCEi._P::::: 2954i -0113
ADDRESS= SPOKANE WA 99206
PERMIT T USI. = SEWER CONNECTION -- NORTH Kiii-'.CiMO
*i:u SEE NOTE ***
PLAT-4= 000382 PLAT NAtiE-:. CHESTER HILLS ADD
BLOCK= I LOT= i3 ZONE= AGI D.t T:N:::: E:
AREA= i'it;;C"i0000 F/A= I..
WIDTH= DEPTH= E1.;W::::
OF T•i D f. S:::: 1 x DWELLINGS= WATER DIST =
OWNER= MARKSNICK PHONE=
STREET= 1808K UNIVERSITY RD
ADDRESS=- SPOOK ANE WA 99206
CONTACT NAME: :: STAN ANDER TON PHONE NUMBER= 509 994 4238
BUILDING SETBACKS : FRONT-: NA LEFT:: NA RIGHT= NA REAR= NA
*•n:ae is•n••x•u:•u••u:•n:•n••k•ie i,:•a*a:•h h:*a it•a:3t'h:•a•k k m:• SEWER I•';.••{#" .. •h:**•ri•a•,r'n••n iia•it••ii*a ii•a•h:•a a*'h:•i•:•*a•li a i+F a a•>+•
CONTRACTOR= it PLUS CONSTRUCTION TION i='i'iIJNI=-:: 509 927 .4994
STREET= PO BOX 141557
ADDRESS= ?POKANE WA 992-14
ITEM DESCRIPTION QUANTITY i"E E:. AMOUNT
PROCESSING FEE:: r` 10,00
SEWER COINNECTION i 40.00
a3i•*•h:n;)ia•ii•aa'a:3 ***a•a•N:*aa•h•a.h*aaaN:aa PAYMENT
... '!'t"i't7 .>t..n..x n•n•a'n a a'h:'k•a a a a ii a*'n••b:•a•ii•b:*a a•;ti iE
PAYMENT DATE RI:CE:EI='T:H PAYMENT AMOUNT
08/05/9i 5343
50,00
TOTAL DI•! 00 TOTAL PAID= 50,.00
PERMIT TYPE FEE AMOUNT AMOUNT PA]:r AMOUNT OWING
SEWER PERMIT 50,00 50,00 .00
50,00 50.00 ,00
PROCESSED BY : JULIE ;YHA•T"TO
FEINTED BY : JULIE SHATTO
SEWER STI1T• AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
I....I.L.IT:I.E::S DEPARTMENT (456-3604)
CONTRACTOR TCIEs: :R APPLICANT IS TO FIELD LOCATE AND CONFIRM I IM THE':
OTHER
ELEVATION AND POSITION OF SEWER 'TUB PRIOR TO ANY
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, E::C'T ,
CALL BEFORE YOU DIG 450--800
''EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ]INSURE
THAT THEY AI'cI' CLEAR AND UNOBSTRUCTED Ti' THE SEWER MAIN
••n:P:it•*P P ni•Pa CAI...I... FOR INSPECTION PRIOR TO COVER aaaaaaaaa.
*?±•yt•a it 3r ii•3i•ie• ',:'.4 HOUR N oT:L t.:I::. REQUIRED a**fi•a a ix•3t a ii
•i" is 3t•A•lE a P:a'R• 456-3604
:+?•if•ii•a}i.•*.7!i!•*a$:*it•**:A:a*aaa'1i.•a*1{•aai[a'7*a THANK. YOU *it•*afit•:4•aaaRa**!t'*:F'aaa:R'a,ta*a,S'a R'a*a9t•*
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
-- Special Insp.Final Report
Hydrant( )
Lock Box
•
. . • " "
Engineer's RID/CRP.
Easements
Road Plans/Improvements
. .
Bonds "''"
Planning;., *: • ;.; •f••• . :.BndS • •••• •
• .." • , ' • .
• ••
. .
. .
Utilities 1. Double PlUmbing
ULID
. .
•,•
. •
Other.
. .
. . .
•
'• • t,', .
• • • . ••• . *
. . . .
**************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY*****"**--"**************—
..
Date received for C/O proceSSing•:" '• • • • • •Plans•p.Ultecl for final processing:
Temporary C/O issued.• • • • Certificate of Occupancy tssued• •
Office file review by: ' " i1±L 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: —