1991, 12-18 Permit: 91006106 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER== 9i00610d IS'SIIED PERMIT DATE= 12/i8/9i PAGE= Eli
u;i 3i>K..A.#.##3thR#ri k;i-#;irietiFk;M1 k;t k'.i PERMIT INFORMATION
STTE STRE:I T== 13209 E. 10TI1 AVE
ADDi4r`..SS SPOKANE WA 992i6
PARCEL..:'=: 22544-0940
PERMIT USE== '7 Wr R CONNECTION - WOLFCREST
#ui< SEE NOTE *##
PI._AT'r= 002404 PLATNAME== SOMMER'S ADD 1'0 WOODWARD FARK
HL.00K= 3 LOT- 1i 70NF-:::: AGRT DT.4'TO= F
AREA= 00000000 1: /A= F (WIDTH= DEPTH= R/W=::
4 OF Di... DG.S= i 4 D WF.. L.. L I N(,S= 1 WA'r IER DTST'
OWNER=: DAVIS, RICHARD
STREI-T'== 13209 F i 0TH AVE
ADDRESS== SPEWANE WA 99216
F'HONE==
CONTACT NAME= TLC PHONE N11HRER= 50,9 427 6760
BUILDING SETRACKS: FRONT'=: NA LEFT== NA RIGHT= NA REAR= NA
SE:: WER PERMIT
CONTRACTOR== TL.0 CONSTRUCTION PHONE== 509 927 6750
STREET=- 13816 E i2_TH .AVE:
ADDRESS=':SPOKANE WA 99216
ITEM DE:.S'CRIP'TION QUANTITY FFEI:- AMOUNT
....
__._....____.._...___.............___.___..._.... _.........._ —.- _...___._._.... .... ... ....
°'ROCES.S'ING FEE: 'r 40.00
SEWER CONNECTION ill
PAYMENT .SUMMARY
PAYMENT DATE RECEIPT4 PAYMENT AIi0UN7
12/18/91 9533 50.00
TOTAL.. DUE= .00 TOTAL I°'AID:::: 50.00
PFRMIT TYPE F'El: AMOUNT AMOUNT PAID AMOIiNT OWING
._.. .....__. _. ....__.__. .. _ .. .... .... __...._. _..___
S[: WE !' PCRMIT 50. 00 50 OG 00
_ ................___......_..... _....... .... ... _
50.0)0 °i0.: 00 .00
P•ROCIiiSSED BY: JULIE .S'HATTO
PRINTED BY, DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAIL,)BLP: AT THE COUNTYUrII...:IT:FEF. DEPARTiMENT (456-3604) _
r'ONTKACTOR OR APPLICANT TS TO PIFI..D IOCATE:. AND CONFIRM TriE
ELEVATION AND POSITION OF Sr WPR 'rl lf+ FRT Ft TO ANY 7THEIR
EXCAVATION
TCi I...00ATE BURIED CADLE:,4,GAS PIPING, WATER L.INE::S, FCT,
CAL.(_ BEFORE YOU DIG (456-_80001
S'F WER ETUBS ARE. TO r r C H CI(FD PRIOR TO CONNECTION TI CIN TO INSURE:
THAT THEY ARE. (.I_E..AR AND UNOBz Ir II TI -D TO THE. �twrlR MAIN
r�ALL. FOR INSPECTION PRIOR TO C01r:1-t
24 HOUR' NOTICE REOUIRE-Ti ###+:#;�##;�•
456-3504
THAN!< YOI) ##;: # #x ae#ai###+'s####-,;####;,*x, m;i,
Project
Address:
Dent
Date:
SPECIAL CONDITION CHECKLIST
Project p
Condition:
Special Imp. Final Report
Hydrant ( I
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init:
(in)
APpr:
(out)
^`•'•"...... ""^"""' THIS SPACEFOR COMMERCIAL PLANSTRACKING, CERTIFICATE OF OCCUPANCY ONLY '"^""'^"'•"""'•"""
Date received for C/O processing: . Plans pulled for final processing:
Temporary C/O issued: . Certificate of Occupancy issued:
Office file review by: . Date:
Filed map 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: