HomeMy WebLinkAbout1991, 04-12 Permit: 91001699 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/applicationwtmo
and correct, and authorizea x County to proceed with processing. In additionhave 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF //
APPLICATION
OWNER OR AGENT "" 40" DATE
PROJECT NUMBER= 91001699 ISSUED PERMIT DATE= 04/12/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13209 E 6TH AVE PARCEL4= 2254i -0424
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PL 4= 001808 PLAT NAME= NULPH ' UB.
BLOCK= LOT= ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= 71 DEPTH= 140 R/W=
4 OF BLDG%= 2 4 DWELLING - WATER DIST =
OWNER= BARTLEL LYLE E PHONE= 509 926 2809
STREET= 13209 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LYLE BARTLE PHONE NUMBER= 509 926 2809
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/i2/9i 2037 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : WENDEL, GLORIA
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% 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
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project •
Address: __._ — —_. Project# _ ___ Use: —_ —
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
—_-- _ Special Insp.Final Report _ __ _
— — Hydrant( ) — -
-_-_ Lock Box_ — �_- --- -------__--.—___ __.--
....
Engineer's -- — RID/CRP T--
Easements_
Road Plans/Improvements
— Bonds
•
Planning
ULID
Other —
•
.••`•*•`•••* *•`**:* ';TH,ISSPAQ.EF,O,R.COMMERCI;iSLP.ANSTRACK.ING,CEFTIFtCATE;QF:fJCGtJPANVCYON1.:Y:*****<......<"***************
...
Date received for C/O processi.n :r .•: — _ Ptah$;pul.1ed("fo€,final:' roressin
Temporary C/O issued " 0• —_—_ .Certificatedf Occupancy issued:.-- '
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: