1991, 05-28 Permit: 91002131 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
1
`: .; ..: T NUMBER= 91002131 IESU:.. PERMIT .. PAGE=
01
ar-sL..n•:+r•r:•s?••rt•ir r.:•.,::t s.7?Jt x!t:F.r:sL s+.t:.':-ie*./,.;L-* PERMIT INFORMATION s 1 1,*at•tt•i t s s: r- x s 7L.., :,-.
HVL PARCEL4= 28543-3522 -
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION . SOUTH it,.;h.i_i a" ,;
1L•fe fE SEE NOTE E h•a,,T,.
PLATO= 001 393 PLAT iii:}i%?;.-:... ?:,:it<.t;(•i_i ; _;Wi'v :. t ;r•
LOT= ZONE= AGSUB DIST4=
... . ...
aC _ 3: 00009f'50
F/A= F WIDTH= 130 DEPTH= j is ::
I, OF :.•' ". ..:•,.... .... WATER•, 1)
i_7G�?':.?...i....?.?•`??ar..i.... '? itit•: 1 i-,�'-, t i,;•,"• ....
OWNER= E',•..!?.»O+ f' t ROBERT +... PHONE=
STREET= 11014 E 26TH AVE
±»±.i?d??';'.?::z•:.:::: ;-;I::'I,JKANE WA 99206
CONTACT NAME= E fr•.r. Arx...'?::.?"; I ...; •? PHONE NUMBER= 509 924 ....._
95
BUILDING :::±::. ± Bf 1.:I' : FRONT= N A LEFT= NA q R.?.( ;..I'j::.. NA .i.:.a.:;i.;::. NA
...... ............. ............... i ;,;:x..ji..i fl:n::it ii::+i•1+;�+r'n:sa:r'sc n. ::.
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I_:t._i?'; ? P'ct• ;..: ± :,,;?•,,•.... ?::.?'@i7.i.i'4ts(;t.?AI"•:AJ .?.Ni..: PHONE= 509 '':}`..
4278 "
ADDRESS= SPOKANE 992iWA y ' f
ITEM ?SE : { , r , ? C1 :
!"N ? ? + f F t.:.?:.. AMOUNT
PROCESSING iv E E ., 10 .00
,:•E W?-.?"•. 5.,i..)N N?=i.: 1 .?.t.i l`'t , r'v.'•:?. .t.. .
...... .. .. ..)j. ..•.:•.j •.:•.:•..:::'.�,:7.'i.:l:j.:j.:•.:+::+::{.:+:-y.:j.:• :•.�V•.:,...N T r'i I:'i i�Y":'f 'i+i.iij K.*•Pr•}+...'Pi:k lar:+i X*.•p•.:Jj**'A••)L•Jl•P*;Ei**
9+:;k:k!+:•N:•P:9`'ti:9+.R!?7+.P.P./+.d.A.v.!.•!.Ik 1.!.Jt t.7.i.1.9.i.!L t'f}".?"?`e.'.4't.? »:•....?. !f.+.
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/28/91 32., 50.00
iO ? AL. DOE= :.00 ? ±„itA;... !"A.?. ..J::^ 50.00
0
PERMIT TYPE 'i::.E AMOUNT AMOUNT PAID AMOUNT OWING
SEWER h . R` . 1 . 1 _ ?
f 50.00 .00
50,00 50,00 ,00
PROCESSED BY : jULIE SHATTO
PRINTED ED B'f : :.)..i?...1.`:. :a f••1 ? ! U
}? J: PS it 'I —BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UT3LITIEE DEPARTMENT
(456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD D Lt.??+.i`'± i E AND CONFIRM THE
ELEVATION,„s N;.? POSITION t..;?- SEWER ETUB PRIOR Ti.ir' �J i OTHER
.•a±-.?'•-
E:XCAd A I i±»JN
TO LOCATE BURIED i ^Z # 1 ` GAS
PIPING, _ __I •:F._ ,
,-
i..:F•1? ? i:;i::P'ti l'.?^ �s'i)it I? I i.. i•ax5 00i;!,
SEWER S ? tsB::: ARE TO BE CHECKED ?•:`R O TO CONNECTION TO ;'`t,`•.;..; _:E
r't!»± ? THEY Y ARE—CLEARAND 'UNOBSTRUCTED :- i j_,�:.. -.?::4MAIN
§*:..******* CALL..... ... I I h i 4 INSPECTION (t i r,,COVER t)+:hi R A.ji•')i•r it -:3+:•
t ,. a I? 1iY NOTICE i iJ ,.
%+r:�..i+:k--)+::d')i* i' 456-3604: REQUIRED
I f a •:**:i.:+4:+: -J+: +r
:!':•Y4?8 9 Y 9 } P ? ?`; . t ? t 9 . : ?9F.. L 7 : :...Y ) i 1 l THANK tZ , 4i . }.:P.. .5 . arR .t *1 e 7ij: . . . ..:.. .) : +r i
ti
SPECIAL CONDITION CHECKLIST
Project
Address: _—_ --_ Project# Use:
Dept: Date: Condition:
!nit: Appr:
____ (in) (out)
Dept.of Bldgs. — —
--- — Special Insp.Final Report
----- ______ — — -- Hydrant( )
------------- Lock Box
Engineer's_____ . RID/CRP -- -- — ---
- -- — - — Easements _
_______ — — Road Plans/Improvements
— Bonds
Planning_ — — Bonds
Utilities.—_— Double Plumbing
ULID
•
Other___ - —
"`"""'"'"*****"****`**THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY*"*** ****** ******•*****
Date received for C/O processing: ._ Plans pulled for final processing:
Temporary 0/0 issued:—__--__ Certificate of Occupancy issued:.—_ — _ _
Office file review by: --__. Date:_ _____ ___
Filed insp finaled by:__ _ Date:
Date:
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:_. ___—`_