1991, 12-18 Permit: 91008513 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
:t_1.ii••E. } NUMBER= 91008513 IESUED PERMIT DATE= 12/12/9i PAGE= 01
Y: *R* : :Ji.J J *£ J *: 7t3 ; : J1 : ;1PERMIT i 'O Y " ? # O` J
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SITE STREET= '1 2507 E .20TH AVE: PARCEL4,= 42....2I 2
ADDRESS= SPOKANE WA 99216`14
PERMIT USE= S„• CONNECTION ...- i i i R;:: t:'";• .... (91S-131 )
•F x• SEE” NOTE. *** '..
PLATO= 001222 PLAT NAME= HILLCREST ACRES 1ST ADD
BLOCK=tE..I:..:::: ':' LOT= i6 ZONE= l.}E..:::
DWELLINGS=
UI; r:
, OF :# ? Y: � � a ' WATER DIST .._
OWNER= I..it)L.l.t#"! , LEE PHONE=
12507 I:: 20TH A 1:'E
ADDRESS= SPOKANE WA 99
CONTACT NAME= OMG:.t., CONSTRUCTION RUC"T'I:ON 'HO 111.E:R= 509 440 3010
BUILDING :E At # w : FRONT= N/A
LEFT=. %; RIGHT= N/A A
.t. n.n.1%t x N.N.Je.}t 1%*a.r. n k x SEWER PERMIT *:n:.>':.1;..,,:•!c**•j%•i!:•fi:•ri--j{-:n:•X**:n;•,!:a:ri.**•ji•-jr*.j:..j;.y,..j;.
COWIRACIHR= OMEC CONSTRUCTION PHONE= 509 ,:;=.r.:}G 3010
STREET= ({'T 'S BOX X I f j
ADDRESS= SPANGLE WA 99031
I..TEM ik : :R1 `TION QUANTITY ; t _ AMOUNT
PROCESSING FEE Y 10,00
SEWER C"ONNECTI N 4 40.00
:!(.;n;A!;i'G??•4!i i!k iC•i%!i•Ni-ri•:+:•j`}7V•Pi•Pi %f 7,i'Ni•P•:ni•Ai'A:'Ni t!{••j!i'1+r){'Ai$%i•Pi
F'
"7`-(`.t .N I 'tit'E'#M n .....•:-i in..,:::r!::,.•,..E,:,,'.: ::::.j•.:::::::::::•.:::•.:::::•.
� !.._!. ,.. ..!. .. .(1#',Y .. P!. 1 N 1 1 •1 4 A.1? H. !A.!%A.�. R.J%.P.}?J%P.P.
PAYMENT DATE t••: -i E- Py7: PAYMENT AMO# T
12/18/91 9530 50. 00
TOTAL{ AL.. DUE::: „00 TOTAL! AL.. i•fti ?.?:::: 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWTNG
SEWER PERMIT 00 :..
50,00 50„00 : 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED i Y Y , ," U # :" : ROBIN
SEWER STUB •t: ;tI 1 N1••1 iRMA- #iN TS AVAILABLE AT THE COUNTY
CONTRACTOR OR APPLICANT is TO FIELD,J LOCATE AND CONFIRM vFIy^R'i THE
ELEVATION AND POSITION OF :_E SEWER STUB .PRIOR TO A?:` OTHER
EXCAVATION
TO LOCATE BURIED CABLES, iGAS 'i':r'i1,, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
.: �•t
SEWER STUBS ARE TO BE CHECKED D i.:C OR TO CONNECTION N Tii INSURE
THAT# # {"ii:.'Y ARE l..I...#::.A°'!I": rAi`+t, Ut'tt-IB i't i• 1.ii.: t #-.,,J 'i-t i THE II_ ,`I MAIN
"':
•�e•�•r:•it••a•yr•�:•1?••Jt• CALL FOR t I'; #��y E'E:.�.TION.I. PEK.1.C7h TO•f•i 1»`{,1V(;::{"•:' •N:•***:a:•x:a>:•:ri•i%u•
3k it•L:.jt.al.1{..jR.*.M. ..�� t..t%?t.?I"•: N t.? I .E i.:1::. REQUIRED 'jf•J{•!!:3t N-!t..F:�?•ft.r.
a..
:n:!k 1S•b:•};*•F:'1{)¢ 456-3604 •j!•*• :n::% }•*•Ji•**
*' g yr••j!;*;!!•j(•*at•'4,N.....1i.****t:..,...,v.,{.**•j•*!r..,.* THANK YOU *******************************K*
SPECIAL CONDITION CHECKLIST
Project
Address: _______ —__-- Project# —__ Use:— --____-- _
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.________ _ --- _._ Special Insp.Final Report
- — — — -- — Hydrant ( )_______ _ Lock Box —_
En-gineer's_—___ _ RID/CRP - R
_________ — - 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 0/0 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:____