1991, 11-25 Permit: 91008164 Sewers
SPOKANE COUNTY DEPARTWitNT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 theTrovisions 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 'Z2:
OWNER OR AGENT DATE ! J
,•:..: •..+ ...... ?
+ n
,. � NUMBER= +_? ;'! :i ':. #•; c:: , +:y t;J ri -? r:: =:+ ISSUED PERMIT =1 F3 T E.. -i .. t !:' ; � .= 1 PAGE= 01
PERMIT .1. N E" I ; IR !'t! i.:+ # ?, ?.? N ii' tE M: •i ii• i+::+i..N.:�•c :ri• :w ;+* f::u• +. � ii• :}i• �+: 3+:• a+: 'J* :+r �,. �,..1..,,. };.:,r.
SITE STREET= i4925 E
ADDRESE= V t•• = A `:,' t 1•' tj
PERMIT USE= SEWER CONNECTION VERACREST (S9i-89)
PLATO= 002748 PLAT NAME= VERA
AREA= 00000000 F ,' f• == i.: WIDTH= DEPTH=
„..,• 60
,_?t1:+;SER= U e:.i.:#..i ;' . ;..;iii�li= R1)
:. .
ADDRESS= VERADALE WA 99037
CONTACT NAME- A P! t iSON.:; ! Rt.?t.: # .E.?.?N PHONE NUMBERO,509 9,-_'2 s.':. .
BUILDING SETBACKS: FRONT= :a r.,� LEFT= ` E:,# `.•, RIGHT= ,i r•: REAR=
i++i 4i• •N: �51.• .ji.:Ji. )i• 'ni $F• }+i 'Ai 'St• ),; •Pi 'J+; 'br Pi +r 'Pi •if• •1+i +i '1+::?• ' +i 'Ni '& 9!r 'Pr
SEWER PERMIT
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CONTRACTOR= A P,...U,:i CONSTRUCTION t"?"??,?#'aE::.:.:: 509 ..,...,:..;
STREET= P ';. „.. _'
ADDRESS= SPOKANE WA 9904
ITEM t•".t
DESCRIPTION ION QIIAN I t'.i• FEE" AMOUNT
PROCESSING
i�:
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PAYMENT SUMMARY
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
-------------
TOTAL DUE:::: - ., 2:32:3 TOTAL # AL (•`f• I t,?:::: 5&0),
?"E::.E";M.E.? TYPE +..E?':. F•i!.t_li,,,i? c•i?,?_,+..,N? ?•:F•li.;_1 c•ii"{l.ifi('1'1 ?-iy,3a.#•...r
--------------- ... — .....»...........- _..... — ... — _.. .. .
50.00 0
PROCESSED BY: jULIE SHATTO
PRINTED BY: jULIE SHAT0.)
77 INFORMATION ,
SEWER STUB AS—BUILT #...? 1: #'•t E••?I?'•:?`; h??.i. ?.?!"`. .l. :) AVAILABLE r�t _ .... COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT TO FIELD LOCATE AND ? CONFIRM ! :. ..
ELEVATION AND POSITION OF SEWER S!?.?t;i E••rt:.iOE'`. TO A?•:Y OTHER
EXCAVATION
TO LOCATE t;?.??y-..?.: •+ J geByly, EASPIPING, WATER LINES, E ?.. i .
CALL BEFORE YOU Diu 456-8000)
SEWER STUBS ARE TO BE CHECKED E -RIOT. TO CONNECTION TO INSURE
THAT THEY i"'! R E CLEAR A N D UNOBSTRUCTED TO T E -E E SEWER i'nA.#N
?.:ALL FOR INSPECTION PRIOR T t: i COVER
)t• '1i P::7}: 7+: ! 3i• +i• 'Jj• . ' ' f HOUR NOTICE # ` E:: Q U .r R E::. ': tk •if 9k JL' 9i:' fi• Jl• it• 9 1t.
.................. ..^
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Project
Address:
Dept:
Dept. of Bldgs.
1
Date: Condition:
Special Insp. Final Report
— ----- _ _ Hydrant ( ) ___
—_--- -- - Lock Box ---
RID/CRP --_- _
Easements--
Road
asements- Road Plans/improvements
Bonds
_ Bonds__
— Double Plumbing
ULID
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for CIO processing: _ �_. Plans pulled for final processing:
Temporary C/O issued: -----.-------_ _ Certificate of Occupancy
Office file review by: _----_._ _.- --- ` Date:---_------_
Filed insp finaled by: _.__.__-___ _— ____-- --�_. Date: --------_ _—s.
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _ ------____, Date _ ._-----_------------- - ----____---
Plans returned: __._ — ------------ ._ --_ ---. Received by:____ ------.____----_------------w_-_------- No response from owner/contractor - plans destroyed:_�-----