1991, 03-28 Permit: 91000498 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99268
(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= 91000498 I%%UED PERMIT DATE= 03/28/91 PAGE= 01 !
**************************** PERMIT INFORMATIGN ****************************
%ITE %TREET= iiOOi E 17T AVE PARCE = 28542-39i1
::,1-4314,ANE WA 992O6
PERMIT USE= SEWER CONNECT77`'
*** SEE NOTE
PLATO= 00i857 PLAT NAME= OPPORTUNITY SUBURBS
^1^'
BLOCK- L
T= ZONE= UNCL
AREA= OOOOOOOO WIDTH= DEPTH=
R/W=
41, OBiDG = DWELINGr= WATER
DIET
OWNER= REID PHONE=
%TREET= iiOOi E i7I AVE
ADDRE%%= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % ON%TRUCTION PHONE= 509 926 8964
STREET= 118i7 E VALLEYWAY AVE
ADDRESS- SPOKANE WA 99206
• ITEM DESCRIPTION QUANTITY FEE AMOUNT
_________________________
PROCE%%ING FEE Y 10,00
SEWER CONNECTION 1 40 .00
************ ****************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
03/28/91 1614 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 5o.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ---------~--- ------------EEWER PERMIT PERMIT 50^00 50.00 .00
� •��������
50.00 50.00 .00
PROCESSED BY1 JULIE %HATTO
PRINTED By: JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATTp`' ^N0 POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES . GAS PIPING, WATER LINES, ECT ,
CALL BEFORE
SEWER %TUB% 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 YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: __Project
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept. of Bldgs.
_______________________.___ _._____--_—__—. __ Special Insp,Final Report_
______-_-___________—_—_ _______ Hydrant ( )
________________ —__-- Lock Box _ ._ _ _ w__._ — — _______ _________
Engineer's__.----____-- -.__.__-- RID/CRP
__________________ Easements — — — — —_______________ — Road Plans/Improvements—__- — —_--
-_________ — — — Bonds — — — -- — ---
Planning. T_ 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 file review by: ________ ._.__ Date:
Filed Insp finaled by: ___ —__.___—___ Date: ________
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans._ _._.___ ___.—____._ _._.__— _____.___ ______.__-_._. Date,
____________ Received by:
No response from owner/contractor-plans destroyed _ ____