1991, 11-27 Permit App: 91008254 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
— r r r.
r
1::'RO:«tI"C { ?`�I..it'"rfi[:.R 91 +.r}+., i"2.!.+4 DATE 11 /27/9 1 Pf.::;..F.
**1?' ? ±"± S I-. 1:40T
f'v f A PERMIT 33i *± l
PENALTIES : ± _ . d1ASSESSED FOR
COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2507 S WHIPPLE RD PARCELO= 28544-0207
ADDRESS"- .'Pi,11t:ANE WA 99206
PERMIT USE= SEWER CONNECTION .... oT`:Hj•Sr:;i MICA (91 —E101 )
*#is SEE NOTE • }i.
PLAT4= 002392 PLAT NAME= EKYVIEW ACRES ADD
it±...00±:::::: LOT= / ZONE= AG j-'1I;"'I4::::
Kr 00000000 •
j= F WIDTH= DEPTH= RBLDG,.:,:- ? eDWELLINGS=
4 OF
WATER DIST ••
OWNER= ;,.'..}: j AR04 i,:i 6 ' PHONE=
STREET= 2507 WHIPPLE RD
ADDRESS= SPOKANE WA 99206
CONTACT '( fE :_ C f : !C rAIN : EXCAVATION PHONE NUMBER=- +.:,,:}':+' 924 :748::+
BUILDING SETBACKS : FRONT= N/A LEFT= f' /At R..±.E.Yi-i.1'::.. .J/r: REAR=±;°-::: NSr'.
.}(..}!.:;+t.}j..}y;.}j..}Ir'T+i'Pt.}::.}{.:.{'1+t R•*:+r i+i iR..}>..:J;•rti:Itr i++i*•Pi',+i h*:;4 `.•?::.w t::.±. i::'"�_.i•a`.,''';I '14*'}f'1+:•P:•'Fi)i-.Fr 4+:')t•tk C'}h'Ai•t[•;iti'Ni'}t'ai*•}+t't+:-Pr 1+i l+r 7j:§+:ik-t+i-}+r
CONTRACTOR= tUr _rffi - CONSTRUCTION P ; ;„x ; - 509 , .! 5485
STREET= j 6.:}0:: i::: ' f-i l.L..(::t'Its H'€'
ADDRESS= eE:.±'LAiiA;._E WA 99037
ITEM EN D_:.SCRIFstON QUANTITY t E AMOUNT
t'tri f:±:_' :>.?.rj r FEE E- , 0 00
• .:
LuNNLciiuN 40. 00
' PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 .00 50, 00
r.
,00 50: ; 0
PROCESSED hDOM
, T«• V T C H; ROBIN
PRINTED BY : D1)MITRO +:%:±"±; ROBIN
.SEWER : U B AS—BUILT INFORMATION IS AVAILABLE ,A THE COUNTY
t, ? �.?....{. ? t , 1,;. f--[3•!; s t 3.t._:• t �: :v-:;t;.....:r�i.}of i
:.O..N. rA C- tP OR A« , ilA` ? t } TO FIELD ? »C A . !N D CONFIRM
THE
? II . uTT « J AND POSITION r . -„r - , -_ k
PRIOR TO A N s OTHER
EXCAVATION
, LOCATE ' . : i CABLES : Y E : PIPING, :( .. :
? 4? : , ECT,CALL BEFORE YOU DIG
(456-8000)
SEWER : TB: rrrTO BE
cHrr :ErPRIOR ;O CONNECTION :'t
THAT hi THEY n r f.:i±”,t::. CLEAR AND UNOBSTRUCTED TO THE FEWER MAIN
*i+.•h:'P:b:*-}+:*-,+: CALL I-'E«i E!. I N P E:;.T I ON PRIOR 'i ::i COVER ',+:••i+:*R•*-i+:,+:***
iF* ft) '*t fl 24 HOUR NOTICE REQUIRED It 5i••}i•Vit.*;ti•jP•;i;.}:::n:
Jr } +AAl t ? 456-3604 k 7
HPPN? PP3
*********************4********** THANK v , r , f* j, *. j: , :r:..h ? r :t , 7fi,, , , 4 : :: ; ; J
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: lnit: 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 _
•
*******************************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: