1991, 05-16 Permit: 91002626 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
em
.,. 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- addition, I have uu and understandtmo /wopsurmwnsoo/newswTa/Nor/os
provisions included herein and agree to comply with same.Al provisiona. laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the• uance of this p mit/a licatio q• ny subsequent inspection approvals or Certificates of Occup cy shall not be construed to
give authority to violate or cancel pr isions of an tat r local I •ulating construction,or as a warranty of conformance with th rovisi s of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION d
OWNER OR AGENT DATE
PROJECT NUMBER= 91002424 I%%UED PERMIT DATE= OS/i6/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 306 N WOODLAWN LN PARCEL4= 15543-207
ADDRESS= %POKANE WA 99216
PERMIT USE- SEWER CONNECTION - %HIRLEY% 1 %T ADDITION
*** SEE NOTE ***
PLATO= %HIRLi PLAT NAME= %HIRLEY% i %T ADDITION
BLOCK= i LOT= 7 ZONE= UR-3.5 DIET4=
AREA= F/A= F WIDTH= 90 DEPTH= 109 R/W= 30
4 OF BLDc%= O DWELLINGS= i WATER DIET = MODERN
OWNER= HUFFMAN, GLORIA PHONE=
%TREET= 17927 E APPLEWAY AVE
ADDRE%%= GREENACRE% WA 99016
CONTACT NAME= GLORIA HUFFMAN PHONE NUMBER= 509 924 3013
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE 10.00
SEWER CONNECTION i 40. 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/16/91 2934 50.0O
------------
TOTAL DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------50,00 50,00 5O.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER Ti% B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% , GAS PIPING, WATER LINES , ECT .
CALL BEFORE YOU DIG (454-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE EEWER 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: !nit: 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 0/0 processing: —.. Plans pulled for final processing;
Temporary 0/0 issued:._ —___-_ Certificate of Occupancy issued:_ — ---�
Office tile review by: Date: = _ '_°
Filed ins))finaled by: ___._.__.__._._______-- _ — . Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans:__ . Date-
Plans returned: . Received by:
No response from ownerlcontractor-plans destroyed:------. �_-- �� --- ---_.__------_--