1991, 04-01 Permit: 91001148 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
, .
.:1.!ta}...E..: F"i„i F'F 6?::.it= ISSUED PERMIT .. 04/0I /91 PAGE= 01
:,: 4 :3: b : c: } ss : rf ) 3x: K13 s: aPERMIT — ^ • AiO: .ç....... f )fr t 91J97 t i i . r .Vi _ j _ * 4 :.
: , q.. STREET= .t -r....:;' .. 16TH AVE
r::}R t..•......... . 22543-1414
ADDRESS= SPOKANE WA 99206
'? I T \r - SEWER .
8801
M** SEE
NOTE{:' N:9i••P:
;:? %`-i'°::-: 001345 i:31 PLAT NAME= ,.i t,.?{,i; .. .4 X7 1-}i,
BLOC':K LOT= 12 ZONE— fa{..;.'.. tai DIST4=
AREA= . ; ”0{ i{ 0 i . a= F WIDTH= DEPTH=. .
. : .
An
! OF . „ :: ±
•,•;.?t'•: •. :F WATER DIST ....
OWNER= toOLDOf'??::. REALTY PHONE=
?ONE
STREET= 12507 E 16TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ? AtY COOK E-'' iit..... NUMBER= 509 .. ... 218e
BUILDING SETBACKS : F...... .T= f t. LEFT= NA RIGHT=
% :: 1 4 PA PPS i*xx x x s : �3 � t k} k: : t k r PERMIT: *: i ¢Px 3i {x uC jn ,s ! j ; { t* :: : r : P x
CONTRACTOR= LARRY T COOK EXCAVATING ` ev " : 509 , r :; t
{
STREET=E'tiE::.E:.T-- •r42 1 's,y .}i,:iI-EnrJ kI'.N RD
,•
ADDRESS= NINE FALLS t ' S W¢: 99026
ITEM DESCRIPTION iUfN S " . FEEAMOUNT
PROCESSING ?.'{::.i::. 10„00
SEWER CONNECTION 40,00
. } 1 a } : .} nxk),: 11 . 1 : t akf ?SPAYMENT * '} ( RY ( j ;} jj1 (3 (x 9iPPsx* jx : x x x jjr
I.
,••;,. r: F•t••,-. p p,_•,....,.p i.: PAYMENT
. ...... . AMOUNT
04/01 /91 1706. -J0, ':C:
TOTAL
O.,.A • t E .00 TOTAL t.:r_r ,F= 50,00
PERMIT ? Y1E FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 50,00 ,00
0 50 ,00 ,00
..
PROCESSED> S YiY � tti
jE `i}..?f;•3'YTt
PRINTED BY : jUL1L
AVAILABLE
,.:._ ,.. t AS—BUILT � T 1.:.. .±.,.:. AT THE
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
ONTR: r _ _ R cE APPLICANT :EST l FIELD ± t - aT C
AND CONFIRM (H-
ELEVATION AND :Ei { ? Er OF : EWER STUB `1'•'•'E,IfaiR TO ANY OTHER
EXCAVATION
TO LOCATE
. „ rrlUR _ :
TCABLES,
Y f , PIPING, xA ^� LINES, ECT,
.
CALL BEFORE• SEWER
. ( _ 1S r . , BE
CHECKED C. i TO
nJEia INSURE
THAT THEY ARE , E _ lR = h1 UNOBSTRUCTED I1 THE SE,tE MAIN
x*Pi3P : : xrt : RINSPECTION PRIOR ftCOVER jkkPi.3tA } j;
•iF i.:^:i±i T 7=i:•3F . ::.:4 HOUR, A t i F....E... REQUIRED •'p*) )'.3i..)F.:1f:.j1.*
..... .... ... 456-3e:)04 *'P:*P.3±i*.:P:'f}:ini i±t
.......... ••S. :,0.* i.ni.:,i.:;.::.i:.:•.:L:-.::.:±j.:•j..iy.:Fi..i.* i.:-..{.:i. E:�N`'. YOU U 7;Jf..3.**3:*:'i-3?.:1:.3r.:}t.n.*.. 3.3F:3:**f 3:..'}r 3f..;}.3:.3;.tei•;Ft-;Fi•3+;F.3;.
+••3?�:tr�P::r a a•�±::F.:•.:,1•.}•..,::1•..%,,�.!�1•.}?1•...r.....}...}.1t 7.1. { t••F t...?. ... ...
1
•
•
Y'a
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
•
•
•
•
•
********************* *.**THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY** ***************************
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:
;77
S F' O K A Nt' �'
DEPARTMENT OF BUILDINGS • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L.MANSON,C.B.O.,DIRECTOR DENNIS M.SCOTT,P.E.,DIRECTOR
INVOICE
DATED: March 19, 1991
TO: Larry Cook Excavating
West 7420 Johansen
Nine Mile Falls, Washington 99026
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application #91-1148
DATE PROPERTY ADDRESS FEE
03/19/91 East 12507 16th Avenue $ 50. 00
Amount due and payable $ 50. 00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to March 29, 1991. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY•SPOKANE,WASHINGTON 99260-0550•(5o9)456-3675
FAX(509)456-4703