1991, 06-11 Permit: 91001729 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 prmit/application is true
and correctand authonze Spokane County to proceed with processing. In umo I have read o understandm 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
|'RU"EC[ NUMBER= 91OOi 7L
FERMI.
SITE STREET= i1205 E 21 %T AVE
ADDRESS= %POKANE WA 99206
PiERMIT USE= SEWER CONNECTION - NORTH
*** %EE NOTE *** ^
PL = 001 -.39.:5 PLAT N = KOKUM WN�ITE (C IN PRI��
' 0CK= i8 LOT= ZONE= A�%C� DJTC=
�
AREA= 00011708 R/:4= 70
1 OF BLDG%= l C DWELL^`
N6%= 1 WATER DIST =
OWNER= PILLSBURY, WILLIAM PHONE= 509 926 0524
STREET= ii205 E 2 . %T AVE
ADDRESS= %EOKANE WA 99206
CON7ACT NAME= LEONARD - - PHONE NUMBER= 509 926 8964
BJILDINC SETBACKS : FRONT= NA LEFT= NA RI�H7= NA REAR= 1vA
***************************** SEWER PERMIT
\ �
CONTRACTOR= H & % CGN%TRUCTION PHONE= 509 926 0964
STREET= iiBl7 E VALLEYWAY AVE
ADDRESS= SPOKANEWA 99206
ITEM DEJCRIPTION - QUANTITY FEE AMGUNT
------ ------------------ -------- -_--------
R{ r' INc FEE ~ i0 .00
SEWER "CONNECTION i ' 40,00
******************************* PAYMENT-%UMMARY ****************************
AYENT DATE RECEIPTP�ywrNT AMOUNT
O6/1i /91 3593- 5O. 00
' ------------ �
TOTAL DUE= . 00 TOTAL PATV=
PERMIT TYPE FEE AMOUNT_ AMCi!NT EATDAMOUNT Cb.:I:O r
--- ----------- ------------- ------------ -------------
SEWER PERMIT 50 ,00 ' 50,00
------------- ------------ --^----------
50.00 5O.00 - . 00
PROCESSED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTQ
_ .
ERMATICN T% AVAI|. iF
UTILITIE% DEPARTMENT ( 456-36O4 )
f.."ONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
�EVATION AND POSITION OF SEWER %TUB PRI5P TO ANY OTHER
ExCAVATION
TO LOCATE BURIED CABLES, �A% PIPlN� ' WATER LINES, FCT .
CALL BEFORE Y00 DIG� (45/`-8000)
SEWER STUPE ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%U�E
THAT THEY ARE CLEAR ANDUKGB%7R0CTED TO THE SEWER MAIN
********* FOR INxFFCIIGN T3 .
********* 24
********* 456-3604 ********** , ,.m'; ./:'c uo
^"
******************«************* THA ******* **��*�;*��*
•
.
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: Appr:
(in) (out)
| / /
Dept.of Bldgs.
Special Insp,Final Report
/!
Hydrant--' ' -- `< ) } /' ` '
-_ ' � __i Lock
. .
/ |---- ' � --| -
! |
-- | / -- --- - '
-- ---
- --i
Enginoo/v_-_- i _ � -_ RID/CRP
- -- | _-' Easements
nuuupwnsxmprovemonts
Bonds
- / --/ ` {
\ ' '
------ / --\ '
— — —
Planning ! __ Bonds
--�
Utilities Double Plumbing
ULID
' .
Other _-
----- --- -- -- |
-- i -- -- -
-- -- - |
'~'`~'``^^~`^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY~```~'`~'-`^^~~`^`~'``'
Date received for C/O processing: _-_ Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: __- _ ___ . ume:
Filed inaphnuledby:___ _ oate-
_-_- _ ___ _ -
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: