1991, 03-27 Permit: 91001390 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 may, APPLICATION
OWNER OR AGENT o''�lc DATE , /
i , -( i NUMBER= 9100.1390
' ? : d39i IEL_ ti PERMIT DATE= 03/27/91 z:;f""! :;E-« !.`i
......i.'C.7 ............ !::+ N E_r-•':;:iy \' .!i... j. ) ! 'ti t ! } Y ) '! '''f t i t ! !
7.P..1!.:!!..1!..!•.9?.•!t•1'.-N:•1'•!k 9?•1?•)!:•P.•9?•9•.•1,:E$?-.?-Yh-t:P:•1r�!.•P: �_.{'t E"E 3. { .E.('�! l.1 t,,{!•d [ .i.t„i I•� 1`.'..ti.1'.:1:••.:.!i 4:•}:a'•i:a..:1:tF..;:F?•.:a N-.:a}:-i-is
STREET= r.- ..
SITE
W: t„ .1i
ADDRESS= SPOKANE ''t'• ..
PERMIT t t!St:.` ,:o-E::.WE::.ti`. CONNECTION . — NORTH K1..i<:.i.ii"tfa.
(
PLATO= 001393 Ps...c: T A jI"!E= - K i k:(.,l 1 c:i f�c:t w N's I �.
E ••:•.
_ _ }' s:::: _._ . rCWATER DIST
! ...
iWNtR- :0U: f «! ! rAN PHONE= : 08 664 69
t ;
STREET= P '0 BOX 15192
ADDRESS= SPOKANE WA 99215 - -
CONTACT NAP9E::.:::: DANNY I•,t f..i R:::t,.E N:::. E E::. PHONE .J 1"E B E.:.t't:-: 509 467 .,+ ! i..
:
BUILDING ::;:::. t ;;{t.:i?.:it:::• FRONT= NA LEFT= '-A '•'.a. .ri..i'':... NA R4:::Ai•:.:= NA
. :. heaiP {) P*; iP : ? e PP } t Pm rP ?1SEWER EM , 5 : * i} :: . i h } . . . e ? e Pxs
ci. . i. Pi
.4
CONTRACTOR=i4AC i i.fii:::: x? & : EXCAVATING E'HONE.... 509 467 8787
STREET= POB 722 F...
ADDRESS= MEAD WA 99021
ITEM DEECRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE ;= • 0 • 00
SEWER CONNECTION 40 ,00
. i: P1ixxxi ?** h .*$ k. P . * .: P . P. ff E\_ SUMMARY tik.h {Nt*. *P*i *. **P****h ( i*Pt
••,.
E•�f.:, !.t"t E Ni DATE !;E::.!..:.:..,t'' ! •x• PAYMENT AMOUNT
:. :27/91 x?v 50 00
IWAL DUE= is i 4•} TOTAL F' :;:2:..: 50 .00,[i , i:1!;
PERMIT TYPE f'"EE AMOUNT AMOUNT PAID AMOUNT t 1„iWnE NG
................. .
SEWER PERMIT 50.00 50.00 .00
5?:!.:1.1?;1- 5 0:1::10 ..01.1 _
PROCESSED BY : WEND,..., GLORIA
P
• iii' E:"-
F F 1N (E::.i1 _t e : 'WENDEL, GLORIA
SE WE::.t': E t„=B (•aF: ....i.;t.i:.E... ! .!.! ,-4.}E'{i EAE .e.t.! I4. AVAILABLE AT THE COUNTY
,, 1 ' 1 I ; ! E'", t J t.. ..i.:i•;= v i.., C.4 5,,a- :t i i:!
CONTRACTOR OR APPLICANT t.:.'. TO FIELD i !t ! El.:Ha E AND CONFIRM THE
ELEVATION D POSITION OFSEWER STUB t.ft.! '..E.i. R TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, s' � PIPING,'tWATER LINES,
. . : 3 ; :
:
CALL t=t::.a-i i;•{I•• YOU.;! 1 ;_! (456-8000)
SEWER
EW:RSr B ARE TO BE CHECKED PRIOR
jI: TO
CONNECTION TOINSURE
THAT
THEY ARE CLEAR AND UNOBSTRUCTED TO THE ctJFR "( I ;
1x1n . . . e. CALL FOR INSPECTION PRIOR ( _ COVER
: . . . . . *i , !tHOUR NOTICE REQUIRED . . 1 ` i .99 * F
C. kikkl.. '
456-3604 11.4'..t•.t:'I:-P P:•P:-P P.•
P ^ t i1J -: i : G: t : ni- S --, I u 111 . : y*1THANK (OU . lJ . :} . }41 } } j: 33 } Ki . i4' J *)**pu*) ;;
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___-- — --
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:. e
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:_ Date:_m
Plans returned: _____________ _-- . Received by: .____
No response from owner/contractor-plans destroyed:____ _ —