1991, 04-11 Permit: 91001179 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 Sx County to proceedwm processing. In omx / have reaand understandtm, 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= 91001179 ISSUED PERMIT DATE= 04/11 /91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 15223 E 24TH AVE PARCELO= 26541 -1424
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - DI%HMAN-MICA INTERCEPTOR PKG 44
*** SEE NOTE ***
PLAT4= 002748 PLAT NAME= VERA
BLOCK= LOT= ZONE= AGRI DIET4= F
AREA= 00000000 F/A= F WIDTH= 330 DEPTH= 660 R/W= 60
4 OF BLDC%= 2 4 DWELLINGS= WATER DIST =
OWNER= REYNEN, JOHN & RUTH PHONE= 509 928 5644
STREET= 15223 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
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTIONPHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/11 /91 1976 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 58.00 50.00 .00
------------- ------------
50.00 50.00 5O.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 LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (45 -8000)
SEWER STUBS ARE TO BE CHECKEDTO CONNECTION TO INSURE
THAT THEY ARE CLEAR ND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITIONLIST
Project
Address: Project# Use:-_-_--_
Dept: Date: Condition: Inst: Appr
(in) (out)
Dept.of Bldgs. --_r— --- ---- --- -------
Special Insp,Final Report__
Hydrant( )
Lock Box
...
: 4.,' i .,. '.,.::+ ' { { {:.%j ,t: `'f N. . /r_K t,... .. :t:. 4 ft•=u !C f r.:e.:, _t
:.
Engineer's __--- RJD/CRPi .
aserTtieniS_ ;i' _. - i. I tk{ :•i.' 1
Road Plans!Improvements
Bonds.. — t
e t� 1
•
Plaguing ..''{. • ; nds-___ ti I .! t
74, • 4 5 ""-__--t• S �•' -t-r..-�-- -; .� !"}- - h" i--'!--r, -1.744211 T-- —a-}:4
Utilities-- Double Plumbing
ULID _
_-,.._. m-- ,_,.. .-.. __ - ______._..._..._
Other t yt.
:_f-p- �. 5
i
THIS SPACE'FOR COMMERCIAL PLAI S:TRAC1�kNtCi;CEFiTIFICATE:O .t0C l;>f$AN YONL( *******•*"* ---
75:11177; D . — —
Date received for C'0 pfo ssingi - -_01,14. s 4 Plans ptti}.ed.for final..procaesing
s t ' ] i
Temporary 0/0 issued Cectdicate of dccupanry,issued.
()Rice file review by: _t. :
-- ----- --- ---- . Date
ii slif;,fiaJed, Y f . T . .T r Pati:
Ninety days after 0/0 issuance
Owner/contractor called regarding the return of plans .. Date
Plans returned: __._ Received by:
No response from owner/contractor-plans destroyed: