1991, 12-18 Permit: 91008246 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, andauthorize Sx County to proceed with »mvossmo 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 OnAGENT DATE
PROJECT NUMBER= 91008246 ISSUED PERMIT DATE= 12/i8/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12418 E 20TH AVE PARCELO= 27542-2343
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - HILLCRE%T (91 -%92)
*** SEE .NOTE ***
PLATO= 001222 PLAT NAME= HILLCRE%T ACRE% i %T ADD
BLOCK= 4 LOT= 14 ZONE= AG%UB DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLING%= i WATER DIET =
OW = HRO K LOUIS PHONE=
STREET= i8 �OTAVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= OMEC CONSTRUCTION PHONE NUMBER= 509 448 3010
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERHIT ******************************
CONTRACTOR= GMEC CONSTRUCTION PHONE= 509 449 30i0
STREET= RT i BOX 88
ADDRESS= SPANGLE WA 99031
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40. 00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/i8/91 9530 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 .00
------------- ------------ ------------- 1
50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNT;
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 UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YGU *********************************
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VIM
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SPECIAL CONDITION CHECKLIST
Project
Address: — ____ — Project#_ —.___Use:_
Dept: Date: Condition: Init: 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: