1991, 04-11 Permit: 91001486 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
PROJECT NUMBER= 91001486 ISSUED PERMIT DATE= 04/11 /91 PAGE== 01
*a************************* PERMIT INFORMATION *•*ai:**********************jai•*
SITE STREET=: 10920 E 18TH AVE PARCEL4== 28542-4104
ADDRESS=- SPOKANE. WA 99206
PERMIT USE= SEWER CONNECTION •••• NORTH KCOKOMO
*** SEE NOTE ***
F'L..AT4= 002393 PLAT NAME= SKYVIEW ACRES i ST ADD
BLOCK= i LOT= 4 ZONE= AGSUB DIST F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W== 70
4 OF BLDGS= i 4 DWELLINGS= i WATER DIST :
OWNER= ROTHGEB, R K PHONE==
STREET= 10920 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TL..0 CONSTRUCTION PHONE: NUMBER== 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT- NA REAR: NA
*****kat•k•k••xA:at•A:ae*•xA:****AiAiA}A:A*** SEWER PERMIT at**•x#*aEA?AiaEA:Ai****at•aeai•>rk•aik•A:k•**xA;•x
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE.
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
_
PROCESSING FEE: Y 10.:00
SEWER CONNECTION i 40.00
A:****** *******alai****at*******•** PAYMENT SUMMARY ******* tar***A'r• ***A:**********
PAYMENT DATE RECEIPT:9: PAYMENT AMOUNT
04/11 /91 1974 50.00
------------
TOTAL DUE== .00 TOTAL PAID= 90.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS 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--8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUC'T'ED TO( THE SEWER MAIN
R•at•%:A:NIk•A:•at•ai CALL FOR INSPECTION PRIOR TO COVER *****k•k•k•k•k•
A:**at•A:a*** 24 HOUR NOTICE REQUIRED kk•**k•**kkk
PA3 � k 4 aH k 456-3604 #A***** {**
*A;Ai****A**•**•***3 ***•************* THANK YOU ***** *at•*****•at•aA:k•aha(•at•k at•#*•iEai•at}iat•****•
•
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: ;nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
: , • l•• . ; •• •.• •-• • ..•••
Engineer's RID/CRP
Easements
Road Plantl7ImproV6ments'.1'•• • ' ••' '•'••••' •
Bonds
,•
•' • • '• • • • :".••:•• •
0;1
-;"313 T -
;;•'33 *;;;;;
(3•-• ?
Planning Bonds (; , . ;
;3. ;; 4. 744,- 4;.4- •
.;;•;3,;•.3:•: •;;;;;• •k 33: ••.; •i1;* •iik• ; .;;;;;•;:;:.a.;
117, j ;
;;;.3.••;,;;•-• -;;;';"
. ,.
:" •'; 3"; .3.3
Utilities Double Plumbing
7.1'.-.
' ULID ; .
. .
Other_
ii•••• 17;
; ; 71;•••; ; 3.•3 •33, I ill ;;;,. •.; •
.; •
....... . .......... .............
7.'33. 3 .;:3 ; ;.• j;--;;:;;;;;
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1.•333-•; .".;;;:.•31'" ; 3:
:•"; ";" ;•-•;;.3;! :;;3 33: i3 I ;, -3 ;:; i 33" ;: '1 •;:i '3" •:.331 ;" ••:;
31:-: 1'1; '3.•; ."-":: 3,;!33:3 ;:•,1 •:—.7•, '-.; ;3,3 I.. -;7, I in.) 3..•31:; -"! "v.;.•-:3., 1.;111"; '33/ .;;
THIS.SP/CE FOR3c9MMERCLAI, TRACKING,CERTI.FICATECIF-OC: UPANrONLY*''!**"*—******"*********--
:
Date received:f9r,C/Oprocssin9;...-.., ,•••• fof;
Temporary 0/0 issued _i •ii• •'• "••• • • • ••• Cettthat of OccOOtricy.igsuid;,•:' TH 3'
Office file review by: • • • • •• Date .
Filed insp finaled by::21=":" :•'"•• . 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: