1991, 05-28 Permit: 91001305 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 athorize Spokane Conty to proceed withvmvmmmo 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
_ -
PROJECT NUMBER= 91001305 ISSUED PERMIT DATE= 05/28/91 PAGE= Oi 1
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= i25O6 E i6TH AVE PARCEL4= 27542-0608
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 001841 PLAT NAME= OPPORTUNITY TERRACE
BLOCK= 2 .. . 3 ZONE=
AREA= �/A= F WIDTH= DEPTH= R/W= 6O
�
DWELLINGS= i WATER DIST =
OWNER= M T HUM, INTON & CAROL PHONE=
STREET= 12506 E i6TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 P500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10. 00
SEWER CONNECTION i 40. 00
******************************* PAYMENT SUMMARY *************** ************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O5/28/9i 3240 50.00
------------
TOTAL DUE= . 80
TOTAL PAID= 5O... OO
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO •
SEWER STUB 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 CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-80O0)
SEWER STUBS ARE TO BE. CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEARAND 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# 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 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:
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: