1991, 03-28 Permit: 91000507 Sewer ~
� ~~���
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
/ SPOKANE,WASHINGTON 99260
(509)456-3675
/vem/vmut/huvoexummoum/onmm/vonnnvuuon.etutomonxomm,manonuontomoumxunusuumnteu»vmoonnvagentmoomnnooaiun rmit/application is true
and correctand authorize S : County to proceed with processing. In umo I have reaand understandmo /wopscrmwnsoumsmsmTexvonos
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
-
ii PROJECT NUMBER= 91000507 'ISSUED PERMIT Df:',TF= O3/2R/9i PAGE= oi
| *********** **************** pERMIT INFORMATION ****************************
SITE STREET= i3O2O E 22ND AVE PARCEL�= 27542 i9i9
| -
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
� *** SEE NOTE ***
1:::1 A.T m,= OOi 0 46 PLAT NAME= OPPORTUNITY TERRAC 4TH ADD
BLOCK= 6 O = I ZO = SFR DI%T�= F
| AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
! 4 OF BLD�%= i �i, DwELLINu%= i WATER DT:-..., i =
!
OWNER= OOT%, %TEVEN L PHONE=
_OWNER- 1302 O � ���.7.: AVE
ADDRESS= SPOKANE WA 99216
| CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****** ********************** %EWER PERMIT ******************************
! CONTRACTOR= H & % CON%TRUCTION PHONE= 509 926 S964 ,
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
.
. ITEM DESCRIPTIONQUANTITYFEE AMOUNT
| ------------------------- --------PROCESSING FEE FEE Y 10,00
. SEWER CONNECTION •
4O.O0
/
******************************* PAYMENT SUMMARY ****************************
| PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
O3/28/9i i62O 5O 0O
^
------------
| TOTAL DUE= .00 TOTAL PAID= 50 .00
PERMITTYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- --- ------- ------------ -------------
SEWER PERMIT 50,00 50.00 OO
�__ �__ �__ |
50.00 50.00 .00
PROCE%%ED BY.-. JULIE %HATTO
! PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY |
/
UTILITIES DEPARTMENT (456-3604 )
�
�� CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE '
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT..
CALL BEFORE YOU DIG ( 45 -8OOO)
| -
SEWER STUBS RE T BE H R T CONNECTION TO JN%URE |
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER ********** �
' ` ********* 24 HOU� NGTICE REQUI�ED **********
********* 456-3604 **********
***** ************* ** ******** THANK YOU *********************************
,`.^^ ` ' �
.^� , `.., ` ^~ . '
.
-/
SPECIAL CONDITION CHECKLIST
Project
Address: _ Project
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.-------------
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 review by: ____—_ ______.______ . Date:
Filed insp finaled by:_.__---- ---__-. Date:__-- ----_-�_—_.
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: ____ _—____ _-- Date
Received by:___— ___— __
No response from owner/contractor-plans destroyed