1991, 04-30 Permit: 91002178 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 permiVapplication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any ptate or loots) law regulating construction; oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF` n APPLICATION,
OWNER OR AGENT—`k�4e_� DATE
PROJECT NUMBER= 910-02178 ISSUED PERMIT DATE= 04/,0/91 PAGE= 01
••3 3e)ekkkt4kk343e343i3¢i:rr3i:3i3E3F1Fif3E5f#kk PERMIT INFORMATION 3&303ek3elt •1[3111311t'30'30****30*-)!**k'I13t'!t*
SITE STREET= 11906 E 4TH AVE
ADDRESS= SPOKAR3NE. WA 99206
PERMIT USE= SEWER LONNE_CTION --8801
343434 SF. E NOTE 34kk
PLATO= 001'839 PLAT NAME=: 'OPP.TR. 1--354
BLOCK= 190 LOT= ZONE= AGSUH
AREA= 00000000 F/A= F WIDTH==
OF BLDG'S= 1 0 DWE:LLING,S:. 1 WATER. DIST
PARCEL.— 21541-1307
DI.STu:=
DEPTH=
_.
OWNER= HOST{IN, MIKE PHONE= 509 4630 7405
STREET= 66I1 N MARKET ST
ADDRESS= SPOKANE WA 99207
CONTACT NAME:= MIKE HO,KIN PHONE NUMBER= 509 467 7405
BUILDING. SETBACKS FRONT':. NA LEFT:- NA RIGHT= NA REAR::: NA
SEWERE�-
P
�A�kk�7ri634k�k�k343E3F3i..M..It.k.3i.;�i�ri�3i�k�3i�3(ii^k-ii•k�iE 3F PERMIT J. ********K X****yE3ikir3fis*ir****iE3i*
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
34krk.3F1ekk3t..tt.k.3*k.3C3(1i*3{. M0k*di3k.li.3i:3(..*..0 .. k•* PAYMENT SUIitMARY K**************** :it********
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/30/91 2.422. t 50.00
TOTAL DUE= .00. TOTAL.. PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OW]:NG
SEWER PERMIT 50.00 50,010 .00
50.00 50.00 .00
PROCESSED BY . JULIE SHATTO
PRINTED BY: J(JI_.IE SHATTO
SEWER STUB AS --BUILT INFORMATION IS AV.A.ILABI._E:. AT THE COUNTY
UTILITIES DEPARTMENT (4.56--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
I:::I...I:::VATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
E:XCAvAT•1ON
to L..00A T E BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL 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
***§K****
CALL (GR 1NSrt U1ON PRIOR
:.JAT , GkEErtkae 4kkt kkk
433kr44k HOUR NOTICE REQUIRED )(ekiJtIt*#
456-3604k3430k4*k3ek•3ek•
*********************e*********** THANK Yob 3e30303F3e 30 30 30 3303430303*3(343430543434de 34343* 303434
Project
Address:
Dept -
> t
V 1, 1 ..
SPECIAL CONDITION CHECKkIS•T"
Dept. of Bldgs.
Date:
Engineer's
Planning
ri
Utilities
Other
Condition:
Project #
$ --
Use
Special Insp. Final Report
Hydrant ( 1
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init:
(in)
Appr:
(out)
THIS SPACE,.FOR COMMIERCIAL-PLeNS,]'RACKI NG, CERTIFICATE QF OQCUPANCYONLY,
•
Date receivea for C/O4rocessin6: •• • ' `• Plans pglled,fot fine) processing' ti
Temporary C/O issued' - - - 'Certificate of Occupancy issued' -
Office file review by: { pate'
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* ,.