1991, 01-28 Permit App: 91000272 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
PROJECT NUMBER= F}#:.
.........................:;.:................. t ' ..r}i }. ! ..y ...d ii ii t - i i i i't 1 ti)i ii ii ii
}`'R:•Ar•H:•!L•14 i@ 7,..W 9+••+}:i+.!:R•7?'1+'•P:1}:•P:9L•Jt"!')i•:,}..,+i 9t R•'P;!t?F f•�E'`��....1.�th T���t,r 9�.9:::•.:..,.�,,..,. ...�. ::::tL-.l,..at..R.9:N:•i:is 9?•N:)::C•:k::::::•.:i}•.::h i,..
SITE STREET= 2912 ,.F
NIVERSITY RD PARCEL4= 29544-0701
i, SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION
:!};i,•}}; S E E NOTE *i?'*
# t { - 9 _ 000376 PLAT NAME=
N f " = C fS1 'iHILLS ; : ttH v
BLOCK= . LB T, r ," N:
OWNER= WALKER,
CHARLES
STREET= 2912 E UNIVERSITY t,:D
ADDRESS= SPOKANE WA :> ? ::_,-?r,
CONTACT
Ntx _ . ;:t y, . STAN Af .ER'{ N . T t� tf , a j ? PHONE
NUMBER=
l
1 _
BUILDING SETBACKS : FRONT= NA LEFT= JA RIGHT= NA REAR= Nt
! i .k 4 N" x :R ?: H L AA ; kN ;:{ N ;. ;: fiP ) PSEWER PERMIT ) ! ! ! PiP .. 1 ! ! N , f . . ! . . P . N ! 1 . t . f .
CONTRACTOR= #::.f4w !•;i.tt,v#.-tt•:F!;, ! INC
STREE1 = PO BOX 141557
ADDRESS= SPOKANE WA 99214 4
ITEM DESCRIPTION QUANTITY ..
FEE AMOUNT
PROCESSING-} is:'i.:E %�}`; : i'
SEWER i:.ONiNE::i TION
PERMIT IYP tIAMOUNT AMOUNT PAID AMOUNT
OWING
. 50 ,00 AO 50,00
PROCESSED BY :
PRINTED BY : jULIE SHATTO
S...` - ' ..,..t'# : €' :t T' INFORMATION A �f} •! :E... AVAILABLE AT .
.,_I. ..........EE
....,
AS
—BUILT, :i:t t: 1 ? P r'a t�
3
CONTRACTOR O
io :TC : APPLICANT
Pt # [ ! d_ iTO
- FIELD i _ t_ E AND CONFIRM THE
: I . tAIiN AND POSITION OF SEWER PRIOR 1O AOTHER
EXCAVATION
TO
LOCATE BURIED CABLES, 1_"t•'.'#,':: PIPING, WATER LINES , ECT,CT
CA
BEFORE YOU e•.•,•G (456-0000)
SEWER STUBS i RE Tf BE CHECKED 1P EI ORtCONNECTION TO
INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED Ti THE SEWER . ,
IN
*),:-****i*** CALL FORif
J j=# iT,#: 'r . :ET tr R TO
:i9 $ *) 77 ' si +lS NOTICE REQUIRED
..
456-3604 .
:i'P:,ti,•r...I T:•Pi•Pi:Pi
'fr}?•7?',t= !};*): 4 9i )}:.l..p:}.9:-'!b: a;. :!?::f:?:, ;. L! : }r.:,.:!.ya. THANK YO Li .i;..i :a(..r:..if..:L.:, •fi}i..:! ;:.i..nr:. i:,..!;.. ! :;. j.: :!; ;:;.! :in • ?.• :i.
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
/ ) /
(in) (out)
(
Dept.of Bldgs.
{ | .
Special InspFinal Report
Hydrant< >
Lock Box
Engineer's � RID/CRP --
Easements
Road Plans/Improvements
Bonds
Planning � � -_ Bonds
_-`
' --
. `
/ --'
Utilities ' _— Double Plumbing
ULID
_-'
Otho
, --
_- '
| -- -- ,
_- .
-- '
~`~`^^~~`^~`^~^^^`~~^^~`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY`~``~`~~^^~~^~^^~~`~~`~^~
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: __ . Dote:
Filed inap8na|eU by: . Date:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: Date: _
Plans returned: Received by:
No response from owner/contractor plans destroyed: