1991, 11-27 Permit: 91006372 Sewer AilliiiiiillMie rrrrretwmr.
w.
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 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 DATE
!
i
PE!:i.)•_?Ft.: I NUMBER= 91006i72 ISSUED PERMIT DATE= ii /27/91`'J1 Ai,. - tali
x**....r.1.t.3, tc K x..t...t. t.t.n.t.t. r'E:.YC?'?.L E INFORMATION t.s...:.........*i.....Jr i4 t.J.x.,t,to i?•)f•i..e u ie
z SITE },i r,..,:_•" t . 1 ,)111 E. il ;,
AVE [�fi 3"•`....'.C..:,}:::.. 22544—i108
ADDRESS= SPOKAt WA 99216
. PERMIT USE= SEWER .ONi+'-jE; ? .... sc;E"2 !••'Ci;r» T
f.:' 1 : :w_ 0016o:., PLAT NAME= ` rR . - - PARKi< , i ra r i 54 , ; :_
BLOCK= i LOT= :: ZONE= E��Y i.r i'�:fi. Yi.`t?.t E-,"r.... r.
, ••r
0
AREA= 000000000 r• ,•A= ;.. WIDTH= ..1..:.s' t .'= I /L�.t= ._'
eOF ^I_ ? - ,. t w D+Er.... ,. k N x E . ! iWATER DIET . VERA
OWNER= USHER PHONE=
ADDRESS= SPOKAPfl::. WA 99216
CONTACT NAME= RON SLOAN PHONE NUMBER-: 509 922 8500
BUILDING ' : k { : : , FRONT= NA LEFT= + ^ RIGHT= t i REAR= *A
!.:} r 1 ; , , xtu ) x n } p :: h t uuntn : n N SEWER irR rr ° V. _
***************K**************
r { _ } ! .
CONTRACTOR= ALWAYS ACTIVE' E �'i':t,. tfi•= ... ,,+. 9228500
STREET= PO BO ' 14-1562
ADDRESS= SPOKANE WA 992-14
ITEM EM T!E:.St.:RT t T.?.?N QUANTITY FEF AMC:lU'a !
PROCESSING FEE r' 10,00
SEWER CONNECTION 1 40,00
**: ***)1.:*********************** A Y i E N T SUMMARY :!?.•i,:r....:...•....•P:•Y,i ii.......it.*•a•*•; •ui Ai*:..R.*•*:'t•:!i A:
I-A i iV1t::.Iwt E DATF 1 E:: E''•.L:.t.:E i.1.: t O PAYMENT AMOUNT
i
11 /27/91 coo 50 ,00
TOTAL AL.. ?JUE:::: ,,00 TOTAL At... A : D::. 50 ,00
PERMIT TYPE FEE AMOUNT AMOUNT i" ;•i AMOUNT OWINi_.
_. PERMIT 50.00
l;} ,t'!l•t - 50,00 ,:J!.t
50.00 50, 00 ,00
PROCESSED r 7 : JULIE SHATTO
T I .
PRINTED ;, t : DOMITRi.i;y,IIC'.f, ROBIN
,}EWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
U I .I.i...... . .E.I.... DEPARTMENT I i tME t -(456-3604)
CONTRACTOR :1R APPLICANT i-:ANT
POSITION" " FIELD LOCATE AND CONFIRM
THE
ELEVATION AND "( ' :: STUD PRIOR s 3YOTHER
EXCAVATION
LOCATE : UR } D CABLES,
i ~tt , ai . PIPING, ). LINES,
r . fE_ T
CALL BEFORE YOU .ii.L i.. ( 456-8000)
SEWER STUBS:It : ARE TO BE CHECKED PRIOR TO CONNECTION
l^ +FirI " rrt1 INSURE
THAT I {Et- Y ;-:,ii•::t::. ;; E N i D UNOBSTRUCTED 1 O THE l SEWER i t`' r
*bp*a i {** CALL FOR INSPECTION PRIOR
{ I _ R . COVER *ppR pt .
&p ,
q 1 9 t *9J9 •F:,. _ ; HOUR NOTICE REQUIRED
•it•*9,.•1;'**}?•'ii•:}e:*
j**.ri..i,..i,;.i,,.it*.p. .456-3604 : .;7••.) }/*•i,.R*
t .::.,.•.: } *! 7 t 7 ( 2: 7 : ;: t ! a ;tjtN ,. :*t . THANK Y t r 7 1 *1 **9 . : ! ! tNi : t . 1ii**** * ' r) K i
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: wt: Appr:
(in) (out)
- —
Dept.of Bldg
__ Special lnsp.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 OpOCCUPANCY ONLY^``^^^~~~'~`^~~~~~~~`
__ ____________
Date received for C/O procesiny: Plans pulled for final procesing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: Date:
Filed |nspnnuled by: . Date.
Ninety days afte0/0 issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by: --
No response from owner/contractor
__momnnonmn,mmmwnevcomraoto, plans destroyed: __ _ _-_______