1991, 12-04 Permit: 91005844 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 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
PROJECT NUMBER= 91 005844 ISSUED PERMIT DATE=: 12/04/91 PAGE 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13119 E 12TH AVE PARCEL..0 22544-1222
ADDRESS= SPOKANE WA 99216
PERMITS USE =E SEWE ER**CONNECTION - WOLFCREST
PLAT;:= 001 670 PLAT NAME= MOORE ' S PARK SUB.TR. 1 54 , VERA
BLOCK= 2 LOT= 9 ZONE= AGRI DIST== r:
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 45
0 OF BLDGS= 1 w DWELLINGS= i WATER DIST =
OWNER= REIMAN NORM PHONE=
STREET= 1 3 1 1 9 12TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VAL.L..EYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE T 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/04/91 9181 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TOliOCETERBURIEDOU DCABiES GAS0} IPING, WATER LINES, ECT.
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 It_ Use:_
Dept: Date: Condition: Init. Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
•" d 7 T c)- ;-:
•.;L:;; 4 4J t4ICi T .17.1 ;1.. "4:* l t 4
Engineer's RID/CRP
:7 • qP,t3r1.ts ":f !
Road Plans/Improvements
Bonds
:7 i • 0 17)1:1":74 7710 01:i 7) 1
=7: '7.f
4 It
. !,;:4
AC 1D 1.P:s.f.
• 3,33., . .7! Ci i:: •,, KY.,(Y.' 1 4
4 “.
Planning •!A9TIOs7; . rrsi;".1
'RV
c' 3:•;;;
77— A A .:r(1. ,f)7 :•-•
: 3; 333 • : 33, i 3/10 T1 . • 4-14i: !
•, .33 333:33..; .3,33. •fi,•fi• 133 33.4 4.4:,33 -., tv:'3.:T.' 34.3.3 3.33- 4 3.g •35.A- ":
. T • 2 211,1 E A131 2
IJ !' 34.1.. ()V 74! !;::: • .:1•;:i
Utilities Double Plumbing '77•i•• 17-''7;7' A_C1 A••-i '-„:` !;11:1 e.•:1
ULID
'2 T
" •
T‘ ; ;.i V,1 C
4. fri
:I('3i::Sk .!k
Other
; 3/3 '71 T ‘.1
:* is.C:\ \ :
7i4fLi. 7 ":" ::, :. . ...,n;,/., ..,;;;;?;f-FT-/.., •••!,) T
. . .......... • .
0,3 7 T
T"1.A 1:
7 T 1'iv;CF:): : )
.•1 . !..! T I %. 7:!. 7. r.;., tri T I 1.i 3.••••.) a 1j
!.-7J :•.! (1-7, A 71 a ' -Ti
*--********------THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFiCATEOF OCCUPANCY ONLY***************************—
•f .101 7! 11 ••1 I:I T V,A 0 I J ;:*-3 RC) T 33f:3, T illi
3- 3 .3 3 3 •., 3 -3 ,...:34 3 j 3 .3, 3.1 :.13 31!1 8T;3'.13„.
Date received for C/O processing: Plans pulled for final processii43
Temporary C/O issued: Tki C,.rtflicate2ofig9.PM,P§In9y: Synffii.—
Office file review by: . Date.0..! :•)!:!;;.••• 21";:i ..3
Filed insp 42t3733.:3 •••,3„..4,,) ".1
I7, i ;:f3 T I 1lii! Vi Ui 7; 1 4 1
-.33-.33:3•33.-
I 1-33...33 3,3.3, :.•••3 3.3, T 3 31 . 3 t 3-.3 .33 33, 41 —
Ninety days after C/4:i4s101,19.ai:. •,,t i IIij g.14.:•4•:,,-;*
Owner/contraddi'6A6trrptAiiig the return of plans: Date! " •
F1rtiktl..1.:41e.44;A: -•:4-44,414,-;d: -4 4 .K A::: ,—;--44.4•••(' ReVei.V.Atily.k
No response from owner/contractor-plans destroyed:
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
PROJECT NUMBER=R:=: 9. 00 844 REVISED CONTRACTOR DATE= 1 0/24/91 PAGE= 01
* • • •* TH:ES IS NOT A PERMIT ***** •
PENALTIES WILL.. BE ASSESSED F O R COMMENCING WOF K WITHOUT A PERMIT
SITE: STREET:: 13119 E 12TH AVE PARCEL. := 22544-1227
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION ••- WOLFCR:EST
*** SEE NOTE ***
F'i_.ATa:= 001670 PLAT NAME-: MOORE ' S PARK SUB..TR< 1 54, VERA
BLOCK(- 2 LOT= 9 ZONE-: AGRI DIST:„::: F
AREA- 0000 }000 F'/A= F WIDTH- DEPTH= F.°/W= 45
4 OF BI...DGS::= 4 DWELLINGS= i WATER DIST =_
OWNER= REIMAN NORM PHONE==
STREET= 1 119 L. 12TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT:::: NA LEFT=: NA RIGHT= NA REAR- NA
•x**•n**x•xbx**.R • •***********•**• SEWER PERMIT R*n***x•;~h •••* :• •*•;rk* •* • •** •* : ••h•x
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET- 16402 F:: VAI._LF::'r'WAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE:: 'r' 10 .00
SEWER CONNECTION •► 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50,00 .00 50..00
50.00 .00 50.00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWE:R STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS 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 (4%6-•:3000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY r"ARE. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
AI.... FOR INSPECTIONPRIOR TO COVER R * •*a.n..tt•A••W
****** k 24 HOUR NOTICE REQUIRED *** •**aA;A**
)i;;ii*•;f•*)r.•ii x• 456-3604 ii.ri..k..ic.M h..H..Si ri•hF
3t 3}:ii*i{ii 3E#ie p§r*s, ii is a * »ii aG iF ii»*h N ri ar if THANK `•((,i i,J #ii it*ji k it t*iE 3k 3E ai al i!h #ii)k A 3l ii)t*a 31!k iE 74}t