1991, 06-25 Permit: 91003626 Sewer SPOKANE.CONINTY 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 additionI have reaand 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 c) is permit/application and any.subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provlid:of 4ny sta -or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF 77-Tr
APPLICATION 4..„.....57...Z.1
OWNER OR AGENT DATE
PROJECT NUMBER= 91003626 I%%UED PERMIT DATE= 06/25/91 PAGE= 01
**************************** pERMIT INFORMATION ****************************
%ITE %TREET= 5406 E 16TH AVE PARCEL4= 26531 -9086
ADDRE%%= SPOKANE WA 99212
PERMIT ,USE= SEWER CONNECTION
*** %EE NOTE ***
PLATO= 005025 PLAT NAME= DEVON RIDGE
BLOCK= LOT= 2 ZONE= %FR DI%T4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= re/W=
0 OF BLDG%= i ::!: DbiELLINf 7:%= i WATER DIET =
OWNER= HE%, INC PHONE= 509 534 7187
%TREET= PO BOX 13524
ADDRE%%= SPOKANE WA 99213
CONTACT NAME= HE% INC PHONE NUMBER= 509 534 7187
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
********* **************** * %EWER PERMIT ******************************
CONTRACTOR= HE%, INC PHONE= 509 534 71O7
%TREET= PO BOX 13524
ADDRE%%= SPOKANE WA 99213
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- ------- ---------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/25/91 4102 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.O0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 . 00
------------- ------------
50,00 K:;0 . 00 5O . 00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTG
%EWER %TUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE%, GAS PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INEPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 ******* *
******************************** THANK YOU *********************************
• SPECIAL CONDITION CHECKLIST
Project
Address: ___ Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.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 OFOCCUPANCY 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:
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:
JOB ADDRESS: / - 3--- 104 '17-1
SUBDIVISION: • Z-,/ 01-/ K' 1 L a p'1r LOT: 2 BLOCK:
OWNER: _.7 /-.44"--3 f -. ....1"- PHONE: S:3 7/b 7
ADDRESS: G G 6-X / LS'- s�s(-.ar4-� .4,4.
CONTRACTOR: LSS „,:....7;: ,z._vPHONE: � -2/ 2
ADDRESS: , , 14,,)e4/e 72 .5-2.-i
LICENSE # : . j---j /11"/C1-'5
S ?\. /
l
INSPECTION DATE: 2- -,
TYPE OF OCCUPANCY: 7