1991, 12-02 Permit App: 91008310 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
, iFfr NUMBER= 91000310 DATE= 12/02/91 : ;" • ?
? NihNiTHIS i ` ), A PERMIT '
hy 79N
PENALTIES WILL BE ASSESSED Er O COMMENCING'M..NC ORK WITHOUT
.
Ti, E ••. t R.i�..E'� = # ...}.5 15_ i:' I ?_I #t A V E:. I=•'A i•i'... ......0=: 23544-15
.±1..:`t?I' I::S " 1:'i:.1-.t';D L„1::. W f i 99037
PERMIT -USE=
.C . . . . " ` : h _ CONNECTION VERACREST (91
—E107 )
) it'at SEE NOTE F:. *,?t-*
F'G_fY(I :R::.:: !:?vt:: ....,.,.. #"E.,,f± 1 NAME= CHERRY ACRES
BLOCK=t.1 t..K i::. LOT= i4 ZONE= EFR DTET4=
DEPTH=
:x, f,•± E t D G,t;. n. ..,r.:. , t'N t i l,;i-A T F:'4 -
I.lw111EE = ,!i#:Si'-� t:f #"t ::I_1.iN •'
ETREET= 14015 E 16TH AVE
t"i i?};!;!::.:.:•,.,,-... '!,S R e•t S?A#...!... WA 99037
CONTACT N> fi . ALWAYS
1AfY, l : t , . K1 3 „ tr + :; ' E N fi..a .
_ . 1:.Y t• ;•1
BUILDING SETBACKS : #'.RONT.., N/_f:i LEFT= N/A #",., .. . t .. . REAR.,:.f t . ' .. _ ..
7
: n: t t X. : ..: it . . * i :n * e: ;iri�n•a 5# : : 4 PERMIT !:t yi : iijt) :ji : j } : t }: jii : j ( t r
CONTRACTOR,, ALWAYS „i.: # ,i V#:: E_;! ..1#:.... . 509 "s'r...._ C500
STREET= PO BOX 141562
ADDREES= SPOKANE WA 99214
ITEi... ivy DESCRIPTION ....
PROCESSING •
FEE :,: 10. 00
`' t'•W!.... . CONNECTION 'I 40. 00
_...
,.!...!:##7 # '(. !': 1.' t::. f•'c 11(7.,,,#tt"(... AMOUNT PAID AMOUNT OWING
•
,}:E tiiE:,t,•`. PERMIT 50.00 _ 00
50 ,00 . 00 750
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED ... ... ..,. ..t. . ±''•,f.?V... _.,t..- ROBIN
..; tat i••t•=: .1. t t:,, ,-•y —BUILT INFORMATION _. _ AVAILABLE i::+'. THECOUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR
_ ; " Ritr , OR APPLICANT E : O FIELD EO + AND CONFIRM
ONE _ M fHE
ELEVATION Y1 . POSITION E }EV " ? STUB tT " 31 ? To ANY OTHER
EXCAVATION
TO LOCATE E f:t3 tRI.E D
v :B LES , GAS PIPING,
IR LINES, ECT ,CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE » . .E CHECKED PRIOR O CONNECTION O INSURE
CHAT A ? s {E Y ARE CLEAR AND - UNOBSTRUCTED TO THE SEWER .MAIN
7i 3:Pi i,;'ii•§i•)y::!;}i CALL FOR, INSPECTION pRIOR TO COVER *********1*
itf•ii};-*it•Kitu-it 24 HOUR NOTICE It.:E RI::.t.!UI#''.ED •r,itii•it••'?tn ?r itM'it'
**N:i!-***'R•.y;, ' 456-3604 it it•*x'?t i}:-?t'* •st:
t i y ? , it; i ? ? t itiP: t i ? P : p : Yi ? t R R THANK i L 97) tiiiNi ? : ;.? ::.}i..au*ii? j: :.;a..: ) :: ;:.yi..*:F :::.il
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init. Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Repo
Hydrant( ) - -- --' --
LockBox
_
Engineer's / RID/CRP
Easements
_- --
Road Plans/Improvements
Bonds
Planning - -_ Bonds
—' —
---- -- —! —
Utilities__- _ __ Double Plumbing --
ULID
-- --
--- --/
Other --
-- -
~"------*********—*THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY```^~'``~^`~````~```~````
oate received for C/O processing: Plans pulled for final processing: .
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Date: _
Filed inopnnaledby:_- _-_ . oute:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: - Date:
Plans returned: Received by: __-_-___-
womxponoofmmowner/oommoto, plans destroyed:___ ___- -------