1991, 12-18 Permit: 91004958 SewerSPOKANE 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
end 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 end 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 lockl law regulating construction, oras 3 werranty'bf conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91004958
ISSUED PERMIT DATE=. 12/18/91 PAGE= 03
########3i•#######******###### 'PERMIT INFORMATION #ii######}f###***** ******** *
SITE STREET= 13303 E 5TH AVE PARCEL'°„=. 22541--0208
ADDRESS= :SPOKANE WA -99216
PERMIT USE= SEWER CONNECTION — DRY LINE ONL.'
### SEE NOTE. ###
PLATO= 000970 PLAT NAME= GARY :ADD
BLOCK= 2 LOT= 8 ZONE"= AGRI D:.ST:i == F
AREA= 50000000 F/A= F WIDTH= DEPTH= R/W=
:r OF BLDG'S=: = I DWELLINGS=1 WATER DIST :::.
OWNER= L_IEBEEL WINNIE PHONE=
STREET== 13303 IL '5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME== TLC PHONE NUMBER= 509 927 67.60
BUILDING, SEETBACKS: FRONT= NA LEFT= NA " RIGHT= NA .EAR== NA
ii*W4*)k##§i•3i##aiM#jg#########ii#ii•Ji SEWER
PERMIT #####aE3*##ri###*x•ai#**#i4##*###i43r
####
CONTRACTOR= TLC CONSTRUCTION' PHONE= 509 927 6760
STREET= 1 381 6 E 1 2TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCE:SSING FEE Y 10.00
SEWER CONNECTION i 40.00
#3tii•##iFu####.li.#######3f•fi•li•*** PAYMENT SUMMARY ######aix*at##;t#####pyx###af####
PAYMENT DATE RECEI.PTM PAYMENT AMOUNT
12/18/91 9533 50,00
TOTAL DUE= .00 TOTAL PAID= 1 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-F--
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 ,00
PROCESSED BY: JULIE SHATTO
PRINTED BY: DOMITRC]VIC:J-1, ROBIN,
SEWER S -TUB AS—BUILT .INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES PEPAKTMENT (456-3604)
CONTRACTOR 0t; APPL_ICAUT' ]:S^TO FIELD LOCATE AND CONFIRM THE
ELEVATION. AND POSITION OF SEWER ,STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE 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
*3e****x** CALL. FOR INS'.PECTION PRIOR TV. COVER ****##.x.*##
24 MOOR NOTICE REQUIREDai#aeae#�u�ai§F##
, #•#ih##### 456-3604 ####ii#:d##3i.
iiiiii****•#ic##3i•####fi#9i###14#1 *** THANK YOU it..i(•.1Fiidi..h•.7e########)i**4*##ik###
###
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'SPECIAL CONDiTION CHECKLIST
Project
Address: Project # Use.
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Engineer's
Planning
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Utilities
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.
.
Other
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...
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Condition:
"Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
ROad Plansilmprovdinentst I
Bonde
:
7'
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Bondt
—
1
Double Plumbing
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At it A $V. r
Appr:
(out)
9-HipSPACEFOR COMMERCIAL PLANS TRACKING, dEriTiFieATE OVOCeoP itNM/ONLY'
Date received for 0/0 processing:
Temporary C/Otissued.0 • „:. ' CertifloateTtif.06cupanbiNssued. ‘7;
• . ,
J
Office file rev-iew by: Date.
Filed insRfinaled by:
,
•
. r
c).". -Plant ptilled for
•
j
•
Ninety days atter C/O issuance: -..r , -
4 . "'WI
Owner/contractor caged regarding the return gli.plant .Date '
L
... , . .. - ,-
Plans returnedf ' 5 '.1.9 • ''''' .. ,Reoeived by.'
K9. L ..1. .
No response frpm`owner/coetractor - plans destroyed'-
-(. , r‘sM .is'ist s 4 sHS/t 'SEm a •S:. N ‘I " . ''ts -7; ,s .•t rt s ar 1 s :s.