1991, 04-11 Permit: 91001146 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91001146 ISSUED PERM:ET DATE:- 04/11 /91 PAGE= 01
************x************** PERMIT INFORMATION ********:**•***•****•x*•;t*•;x* *•
SITE STREET= 15126 E 24TH AVE PARCELO== 26544-1704
ADDRESS-: VERADALE WA 990:37
PERMIT USE= SEWER CONNECTION •-• DISHMAN—MICA INTERCEPTOR PKG 4:4
•u•** SEE NOTE ***
PLATO= 001593 PLAT NAME= MCL.AUGHL..IN ADI)
BLOCK== i LOT=:: 4 ZONE= AGRI DIST := F:
AREA= 00000000 F/A= F WIDTH= DEPTH= R:/W-: 60
4 OF BL..DGS== 4 DWELLINGS= i WATER DIST
OWNER=: HEGENDERFER PHONE=
STREET= 15126 E 24TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME:= TERRY COURCHAINE PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT:::: NA REAR= NA
*x.*************************** SEWER PERMIT r:•*•x>~* •*** •*•;k•tt•tt••xtt*****aiu x•*•xx•x•
CONTRACTOR= TLC CONSTRUCTION. PHONE= 509 927 6760
STREET= 13846 E i :STH AVE
ADDRESS= SPOKANE. WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING; FEE: Y 10.00
SEWER CONNECTION 4 40.00
*********************34 **** *** PAYMENT SUMMARY .R *•******* :****** *******••h*
PAYMENT DATE. RECEIPT : PAYMENT AMOUNT
04/11 /91 1978 50.00
------------
Tf?Ta11._ DI.IE'::::
:.00 TOTAL. PAID= 50.00
PERMIT .i..(F'E FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 . 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 ):S 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 (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
******* :* CALL_ FOR INSPECTION PRIOR TO COVER •** •****at
**** 24 HOUR NOTICE REQUIRED ***** :ai•** •
Ott• :*** •** 456-3604 •x•>t•x•>k******
Arai•***•3f**************3************ THANK YOU ***********x•** gat•***ai •** •ri•*;f•*a>*aR•*
SPECIAL CONDITION CHECKLIST
Project
Address: Project# _Use:
Dept: Date: Condition_ Init: Appr
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report__ —_--
Hydrant( )
Lock Box---. �.—
...
""i _..__Iv .. .'?':'' .. 7.. �I :'1! 1 IS•}I"rvt1 l!,•!, 1 1: 1 :f. ,f. lc..._...
Engineer's _______-- RID/CRP- ---__ —_
••;;,� - .; .... f !':,- e, 'fx11.:` _ 1S 1 •;
Road Plans/Improvements
Bonds
... OA 1 14; 1
;.
Planning__ Bonds
•
Utilities___ --____-- Double Plumbing.__
U L I D
::-_._,�;yL'.. L__!l,.-fyr S-- _y,`-,=a- ri-",•i- ---•-+",+-" ,+-+-+- ,{.-:i .:r1;-4— :...r..r4..-.,.:-,.l-i-+''----+' .�_1:--1:. ae_k-.i..--._..w..�..__.-s__.._..:_':f-i��_ .:�. .J�.:-_14-1L .L'..._��_T_...___
Other_. _...__
., _..
i":
"a`TNISS#�ACEFOA COM 1ERCIAC.PL`ANSTRAOING;,CERT'IFICATEOFOCCUFiANGY }NLY : -.*4*********".**
Date received for' '' {1•1 1 a ' 1
prac� ;ng ;;� _ __ , . Alam-• {Eed t
�§ 11 �• ---1 IPu �fin @{pr4s�i.r�fng - -
Temporary C/O 4ssu hl It f; = 1 ` Ce tffpc�ateof Occup ncp.issue _ f 1
1:' I
i
Office hie review by t, , 1_--- ._.__.__.__ — Date
Filed ;np finaledby ._� Pate
••: •:: 'rt• '.: .f• ::: . :
y S f� .'t:+t7+:.. . .. ?i:f :. i .. f (i ... .. ..
Ninety days after ClO issuance:
Owner cr ntractor called regarding the return of plans -------___- _-. Date: _._--
Plans returned: — — - -' — Received by. -No response from owner/contractor-plans destroyed" _--