1991, 08-12 Permit: 91004815 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 SkCounty to proceed with processing. In uom I have read u understandm a croN REQUIREMENTS/NOTI
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 regulat construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. r\
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE .1-
F'ROJECT NUMBER= 91004815 I%SUED PERMIT DATE=' 08/12/91 PAGE- 0i
* ************************** PERMIT INFORMATI[}N ****************************
SITE STREET= 5713 E 15TH AVE PARCEL4= 23534-0906
ADDRE%%= SPOKANE CU(.. ...... 1 2
PERMIT U%E= SEWER CONNECTION - %LOAN% ADDITION REPLAT 41
***
EEE NOTE ***
PLAT4= 003336 PLAT NAME= %LOAN% ADD REPLAT 41
LOCK= i LOT= 6 ZONE= UR-3 . 5 DIJT4=
AREA= F/A= F WIDTH= iOO DEPTH= 130 R/W=
:!!: OF BDWELLINi WATER DIET = JPO CO WATER DIST-4?
OWNER= %HGREWOOD HOME% PHONE= 2O9 772 7�8i
%TREET= 8i9i LOCH HAVEN DR
ADDRE%%= HAYDEN LAKE ID 83835
CONTACT NAME= TOM ANDERL PHONE NUMBER= 208 772 7581
BUILDING %ETBACK% ' FRONT= NA LEFT= NA RIGHT= NA REAR= NA
PERMIT ******************************
CTOR= %HOREWOOD HOME:•!! INC PHflNE= 2O8 77'2 7�8i
%TREET= 8191 LOCH HAVEN DR
ADDRESS- HAYDEN LAKE IN 83835
ITEM DESCRIPTION QUANTITY FFE AMOUNT
------------------------- -------- ----------
PROCE% ING FEE Y 10 , 00
%EWER CONNECTION i 4O. 0
******************************* PAYMENT
PAYMENT DATE PAYMENT AMOUNT
08/12/91 5526 50 . 0�
TOTAL DUE=DUE= . 00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWEH PERM.Li PERMIT 50 .00 50 .00 . 00
------------- ------------ ------------'
50 .00 50. 00 . 00
PROCE%%ED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
%EWER %TUB A%-BUILT INFORMATION I% 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 CABLENi"; WATER | INF% ECT
1
CALL BEFORE YOU DIG ( 45"-8OOO )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%;RF
THAT THEY ARE CLEAR AND ;NGG%TRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************* THANK YUU *********************************
SPECIAL CONDITION CHECKLIST
•
Project • .
Address: _ Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report
_ Hydrant( ) _ •a
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 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 insp finaled by:.. _
--._.__..__— .Date:_u
•
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _____ ___T. Date:
Plans returned: —_ __ — Received by: -_______
No response from owner/contractor-plans destroyed: _ _