1991, 04-17 Permit: 91001879 SewerSPOKANE COUNTY DEVRTMENT 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/applicalion and any subsequent inspection approvals or Certificates of Occupant/shall not be construed to
give authority to violate or cancel the provisions of any state o(local lav{ regulatipg constructiijn, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF �� APPLICATION / 7:
OWNER OR AGEN DATE �1`'" - - / • ice: L/ I: . �i�
PROJECT NUMBER= 91001879 ISSUED PERMIT DATE= 04/17/91 PAGE= _01
***********•************ae**** PERMIT INFORMATION **********xai****************
SITE STREET= 212 N WILLOW RD PARCEL4 = 17543-1223
ADDRESS= SPOKANE. WA 99206
PERMIT USE= SEWER CONNECTION -- A87--1
*** SEE NOTE ***
PLATO= 003703 FLAT NAME= BEARS ADD (BLUE LINE ONLY)
BI...00K= 2 LOTS= 9 ZONE= AGSUB DIST@== I"'
AREA= 00000000 F/A= F WIDTH== DEPTH= R/W=
OF BL.DGS'= 1 0 DWELLINGS== 1 WATER DIST =
OWNER= GRAFOS, DEAN
STREET== 212 N WILLOW RD
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME:._ D & B EXCAVATING PHONE:: NUMBER= 509 467 8787
BUILDING SETBACKS: FRONT== NA LEFT= NA RIGHT= NA REAR== NA
***************************** SEWER PERMIT *********************•*•********
CONTRACTOR= -D & B EXCAVATING PHONE= 509 467 8787
STREET= POB 722 PL.
ADDRESS= MEAD WA 99021
ITEM I)ES'CRIPTION QUANTITY FEF_' AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40:00
*******•****•******************** PAYMENT SUMMARY ********ieje******************
PAYMENT DATE RECEIPT;;r PAYMENT AMOUNT
04/17/91 -2119 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.06 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STLJB AS=BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456=-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE. AND CONFIRM THE
EI...EVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, CTAS PIPING, WATER LINES, E:CT,
CAH._ BEFORE. YOU DIG -(456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRICER TO COVER **'h*******
********* 24 HOUR NOTICE REQUIRED **********
*****,***.*, 456-3604 **********
****ease************************** THANK Yb IJ***,***•***••***************le********
SPECIAL CONDITION CHECKLIST
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Owner/contractor called regarding the return of plans: Date' -
Plans returned' Received by:
No response from owner/contractor - plans destroyed'
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THIS SPACE FOR COMMERCIAL PLANS.,TRACGj(INL'P,; CERTII'EOATE;6J'.00:Ct3P,ANCfi' ONLY, .;
. .. ... __ .... _.. ... .. .. .._ 'r ) 3 ) _ .. 1,4 1y 1
.., 1'.t. !'�.4�t ( �,1 'i,•.Y1 f' !! ,'1(1.7 Fi") CA.3/,,1:01.1 '1I 01 .11-11t Vlt 1_:11!
Date received for C/O tt"rdces`sing-Itt I'"..'t-1 tT' tY 1T ll I 'T'vPlensletlled'%n Anefroee's"singf :IH r i'AHT
k4f*if N35-Xf(;c '-1710 0t 510 .1 ", 1.4PI1 a 1w 5r1
' 1 1!AJ 3
***, '1f3td?h)(
Temporary -C/O issue$.fit :; x :;,, .e
( .. .•(-' 14?i ..i ix)C61460,431t9f'itupansy4s971ed• ,(a
Office file review by: It 3t*'34**'.'..k**'+( Date: AO,' F 1^?A #n'3(*+&?r 443E'x
' gg4 illgtt!,i, !031)X.%.:44..;(><`t k:: l,.. l:'( H;:;::: :(i::: 1. {milte: ;:Nr:,;;:' :" (,(H?:)f :. X; )1A:,;-::14.4*43t:' yE 9/3f vE 3. 't ,t vt,(. i('+e
Ninety days atter C/O issuance:
Owner/contractor called regarding the return of plans: Date' -
Plans returned' Received by:
No response from owner/contractor - plans destroyed'