1991, 04-17 Permit: 91001315 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
PROJECT l . ^ _ i: 91001315 'r _D PERMIT
t : ' . iDATE= 04/17/91 PAGE=C : ; {
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SITE E i i'• i = 1 't 7 1 : t- 17TH A::1` P ra.:c::F......l...... 20542-1906
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — WIRTH VOKFIWI
! _..[i ; •!!..... 001393 PLAT NAME= !{i„(#t-i i{"t i..3 i i..1:A1 N E... ! {::.
BLOCK= I ..t•.iNr:.:::: s•:li:.;'>f..iB D:1::;'y':u ..
AREA_.: 00000000 F/f:'1:::: {.. WIDTH= DEPTH= i•K.'Ir.i::::
OF BLDGE= .. i-rt,.lEL..L...i.#'d?.r,:;.... 1 WATER DIST ....
OWNER= HOYE, TOM PHONE=
1. AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= •..:!.�i_,.{, A 6 V PHONE NUMBER=S f.: .. _. r 6102
BUILDING SETBACKS :! 'I iN t :: NA LEFT= Nt•: P.RIGHT= NA REAR= NA
:p": :: '.::....y{.:r.::..:.....:r..:r.:�.:,.:,:�1:**:r.:r.:r....h.* ';`j..1:E"i!' I� 1`•1"' :It**It'3+i')k 1!i Pr***'*K:k* !r'Pi'Pr**.ti.4(.*'14**'JG
,... I?P.P.t... ..!.!L,. !. ,.P.!...1. 3.1.i.,. ....!. 1.!.P ... ...... ..... P'i:.......#. #
CONTRACTOR= A 6 N CONSTRUCTION PHONE= 509 2 6182
STREET= 1425 N UNIVERSITY RD
ADDRL.,,S= SPOKANE WA 99206
ITEM„ isF: at,P{ Fitc:i QUANTITY ....`l... f"......t..3 i''. 1
PROCESSING FEE
SEWER'
MRMET:TION :i Y!:..., • j.0
:::.::'..:::'*ii::c a..'.::'..r...'.:'.s.:'.s.:'.:'.:'.:'. :.}::r.:,:...;,; :i.:r.:,::r.:,::r.:r..........+iii'::...1r..1�..1r.......1t'fr..jr.:!!i pi.1i..1,:.1r.
,L ! ..!. A. 1,: ,.: : ! , 1 ..1.1.3.J• 1.P.. }. !.!. .. {.:(:!Y ,!!...�•. -.til',
PAYMENT DATE i::. i'!.Ei..:i::. 1 P • 'w' PAYMENT AMOUNT
04/17/91 2143 50 ,00
................................................
50,00
i 1! # A?... DUE= ,00 TOTAL :`.i..i.!....1....
PERMIT TYPE 1..#::E r.:i;"{;_Si..ie`=1-j AMOUNT{ PAilii AMOUNT N i ,..iW ..!G
SEWER PERMIT 50,00 50,00 ,00
50,00 50 ,00 ,00
PROCESSEDPRINTED
JULIE t t '�:' I A..,..i i
SEWER STUB i•:i,.....r ,,1t : ; INFORMATION • ._ AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTORiii:;. APPLICANT • '
TO FIELD LOCATE AND CONFIRM THE
i..
ELEVATION r•�i r'a I,J i�'t„F �'.i. .i.(�;Fa [.)1"• ..r I::.i%?i-__i'•. ,.. f ..)t.. PRIOR _ :='i 1'•1•!' OTHER
.
AVATION
.l..
GAE PIPING , WATER LINEE, ECT ,
CALL BEFORE , DIG t•1i
EEWER ,. ! ,tri.:, ARE TO BE CHECKED L:(.,.. IOR TO i
; ? -; T. N 1INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED l : ; : a :: MAIN
: iri+iPai § c CALL 1I `E.r , ItiPRIOR � ; COVER ****)f:)(:****
********§ 2 HOURNOTICE
REQUIRED 1 i;':ili iur ii'ir-.!i..!..iR'i.
. .1 . . iJ } ..!}....}!..J , ! ) ) 11 : ; „ 1J ! JrTHANK
ifi : ! . iFj11 ,i1 : ) :l :11f ! : : :r.}!. .}..y!.
N '
SPECIAL CONDITION CHECKLIST
Project
Address: Project#- ----__----Use:_____
Cent. Date: Condition Inil: Appr:
(in) (out)
Dept.of Bldgs.
-__---- — Special Insp, Final Report__._ .—._--
Hydrant ( )
Lock Box - - —
Engineer's ._ — . .
Easements_._.*-___ _ ----_.—_-- --- •
� —_
Road Plans/Improvements
Bonds_
•
•
Planning__ Bonds---____.--
Utilities Double Plumbing._-.--_ ._____----__-__--
U L I D
Other.._.._._. _. __. • '
•
•
°'`'THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF'OCCUPANCY ONLY°
Date received for C1'`0 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 lays after CIC issuance:
Owner/contractor called regarding the return of plans° _ Date:
Pians retrurned. —_--___ --_-- -----__-. Received by:
No response from owner/contractor-plans destroyed __�—---------- .—_w__._�