1991, 11-27 Permit: 91006550 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 u with processing. In additionI 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
' \
_
ROJECTNUMBER= 9iOO655O ISSUED PERMIT DATF= 11 /27/9i PAGE.= Oi
*********************»****** PERMIT INFORMATION ****************************
SITE STREET= 13804 E 12TH AVE PARCEL4= 22544-1805
ADDRESS= VFRAD4LE WA 99037
. `
PERMIT USE= SEWER CONNECTION - WOLFCRE%T
*** %EE NOTE ***
•
PLAT4= 002753 PLAT'NAME= VERA
BLOCK= 174 LOT= ZONE= AGRI
AREA= 0000O900 F/A= F WIDTH= DEPTH= R/W=
O' OF BLDG%= i 1 DWELLINGS= 1 WATER DIET =
= MO'' PHONE=
STREET= 13904 E 12TH AVE
ADDRESS= VERAD)LE WA 99037
CONACT NAME= RON %LOAH PHONE NUMBER= 5O9 92? 850�
BUILDING SETBACKS : FR. NT= NA LEFT= NA RIGHT= HA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 R50
STREET= PO BOX 144, 562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FFF AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10, 00
%EWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT TATE RECEIPT4 PAYMENT AMOUNT
� -
ii /27/f1 9068 50.00 TOTAL DLE= .00 TOTAL PAID= 5O. 00
) _
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNTOWING
•
SEWER PERMIT 50.00 50^00 .00
� ------------- ------------ -------------
50 . 80 50.00 .O0
� -
PROCESSED BYJULIE SHATTG
� .
PRINTED BY : DOMITR[ VICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
COH^' ^ TOR nR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION D POSITION OF SEWER %TUR PRIOR TO ANY OTHER
EXCAVATION '
TO LOCATE TUR7EB CABLES, GAE PIPING' WATER LINF%, ECT .
CALL BEFORE YOU DIG (456-8000)
SEWER %TUBS ' ARE TO BE CHECKEDPRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED 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:Du»e: Condition: !nit: App,:
(in) (out)
Dept.of Bldg
Special Insp.Final Report
Hydrant( )
Lock Box
| ! |
Engineer's RID/CRP _______
Easements
Road Plans/Improvements
Bonds
- --
- -- | --- --'
Planning Bonds
__'/ _- -_ Bonus
Utilities _ Double Plumbing
ULID
--- ! --/ ---
Other
__
- -- —
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE DrOCCUPANCY ONLY~``~`'~`^^~``^~`^`^~``````
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dato:
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/conmoto, plans desmyeu: -__-