1991, 12-02 Permit: 91008284 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this vonn/vxnpocat/o".o��mmmommnn�/onvonmmeumnand ouum/mmuvmounnv�enmoonmpi/nsumr�/vu nom/ istrue
and and INSPECTIONnEQ
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 th rovisions 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 oRAGENT DATE
PROJECT NUMBER=.91008284
ISSUED PERMIT DATE= 12/02/91 PAGE= Oi
************************* PERMIT INFORMATION ****************************
SITE %TREET= 14908 E 24TH AVE PARCELt= 26544-0213
ADD RE%%= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — VERACRF%T (91%-103)
*** SEE NOTE ***
PLATt=
BLOCK=
AREA=
1;OF BLDG%=
00000000
�
PLAT NAME= VERA
LOT= ZONE= AGRl DJJT4=
F/A= F WIDTH= DEPTH=
DWELLINGS= i • WATER DIST =
F
OWNER= B RN T , DAVE PHONE=
STREET= 14908 E 24TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= A PLUS CONSTRUCTION PHONE -NUMBER= 509 922 4594
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
********************k******** SEWER PERMIT ******************************
CONTRACTOR= A PLUS CONSTRUCTION PHONE= 509 922 4594 •
STREET= PO BOX 14i557
ADDRESS= SPOKANE WA 992i4
ITEM—DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 18.00
SEWER CONNECTION i r 40.00
****************************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTOPAYMENT AMOUNT
12/02/91 9109 50.00
TOTAL DUE= .80 TOTAL PAID= -------50,00
�-��
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00 `
------------- ------------
50.00 50,00 5O.00 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE JHATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LGCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (45-8OOO) ' ' ^
SEWER STUB %ARE TOBE CHECKED PRIOR TO CONNECTION TO INSURE
;MA! |Mty Firt RUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* ' 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK—YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: _______ Project # Use:
Dept: } Date: Condition: Init: y Appr:
(in) 1 (out)
Dept. of Bldgs.
Special Insp. Final Report
Hydrant( )
Lock Box
Engineer's
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning € j Bonds
Utilities
Other__
Double Plumbing
ULID
' 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:
Filed insp finaled by: _
. Date:
. Date:
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans' Date:
Plans returned: ________._______________—_—_ __. Received by:
No response from owner/contractor - plans destroyed