1991, 08-02 Permit: 91003482 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that 1 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= 91 003482 ISSUED PERMIT DATE= 08/02/91 PAGE= 01
xxxxxxxxxxxxxxxxxxxxxxxxxxxx PERMIT INFORMATION xx**xxxxx******)kms•***********
SITE STREET= 13302 E 22ND AVE PARCELO= 27541 -2326
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION '• 8801
*** SEE NOTE xxx
PLATO= 001846 FLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= 3 LOT= 3 ZONE= A(:Y, U I:( D]:S T O:= F`
AREA= 00000000 F/A= F WIDTH= DEPTH== R/W=
ff OFBLDG,^•.= i DWELLINGS= I WATER DIST
OWNER= WATRUS E DENNIS PHONE=
STREET= .13302 E' 22ND AVE
ADDRESS== SPOKANE WA 99216
CONTACT NAME= CRISP CONSTRUCTION PHONE NUMBER= 509 534 1505
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT== NA REAR== NA
xxx**xxxxxx*3** i**xxxxxxx*xxxx SEWER PERMIT *xxxxxxxx •xxxx*xx•x•x •xxxxxxx •xx
CONTRACTOR= CRISP CONSTRUCTION .INC PHONE=:: 509 534 1 505
STREET= 3608 E 5TH AVE
ADDRESS= SPOKANE WA 992.02
ITEM DESCRIPTION QUANTITY FEE AMOUNT.
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.06
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx PAYME:NT SUMMARY xxxxxxxxxxx•xxxxxxxxxxxxxxxxx
PAYMENT DATE TEC IPI PAYMENT AMOUNT
08/02/91 5284 50.00
------------
TOTAL DUE= 400 TOTAL F'AID= 50.00
PERMI.? TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50400 50b00 ,00
50.00 50.00 .00
PROCESSED BY : JULIE". SHATTO
PRINTED BY : JULIE:: SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE. AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD L..00ATE. 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 (456--8000)
SEWER STUBS ARE TO BE. CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
xxxxxxxxx C•ALL.. FOR INSPECTION PRIOR TO COVER xxxxxxxxxx
xxxxxxxxx 24 HOUR NOTICE REQUIRED xxxxxxxxxx
xxxxxxxxx 456-3604 xxxxxxxxxx
******************************** THANK YOU xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
SPECIAL CONDITION CHECKLIST
Project
Address: ___---.___-- Project# —___Use:
Dept: Date; Condition: !nit: Appr-
(in) (out)
Dept.of Bldgs. -----_—._--
Special Insp.Anal Report —.--_--
Hydrant( }
--____—_-- Lock Box
Engineer's RID/CRP —__.-_--
Easements
Road Plans/Improvements
___--
1
Plan.i ung__
-. .. ..
•
Utilities__._ __._-- Double Plumbing_- _ — --___--
ULID
Other
(*Jr') 1);•-•:'
fHISSP`A10Erotii coMMERt:1ALIDCAN TFt ,- -KING,Ck nfi{t1 AYFpF.S UPAtICYONLY. •`*******•*,.«.r.*********
Date received for C/O prociesaing;:-s r1gn ;pt�ied firtnai prrxcesslrig
Temporary C/O issued t G'ei:tifecat bf Qs cuparncy
Office file review by: �� 44;_4:.__�_---- ---- . Date: f*. ---
Filed +nsp finaled by ,pate.
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 ------ .__ _ --------__--_--------___---