1991, 06-28 Permit: 91003658 SewerSPOKANE COUNTY bEk ^JMENT OF BUILDINGS
VV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON g92GO
(500) 456-3675
/ certify mudou,oexumWed m.oporn m^pn/.ow/on.Mate mNWei Mo,mouunvontamoumnand submitted uvmoonnvagent mcompile said permit/application /otmo
o correct, and auvorize Spokane Cotto proceed with processing. In addition, / 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
hernin w not. I undersWnd WM Weissuance of this permit/application and any subsequent inspection approvals or CeATcates of Occupancy shall not be con0rued to
give authority to violate orcancel the provisi f 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= 0003658 ISSUED PERMIT DATE= 06/28/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET=
*****************************
14023 E 25TH AVE
PARCELO=
26543-009PTN
ADDRESS=
VERADALE WA 99037
PERMIT USE=
SEWER CONNECTION
*** SEE NOTE ***
PLATO=
OOOOOO PLAT NAME=
UNKNOWN
BLOCK=
i7 LOT=
5 ZONE= UR -3.5
DI%TO= F
AREA=
00008000 F/A=
F WIDTH= i1O
DEPTH= i30 R/W= 50
0 OF BLDG%=
i 0 DWELLINGS=
i WATER DIST
= VERA
OWNER=
W R % & ASSOCIATES
INC PHONE=
509 922 0782
STREET=
P O BOX i4084
ADDRESS=
SPOKANE WA 99214
CONTACT NAME= BILL SMITH
BUILDING SETBACKS: FRONT= NA LEFT=
PHONE
NA RIGHT= NA
NUMBER= 5O9 922 0782
REAR= NA
SEWER PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------ ------- -------- -------- 66
PROCESSING FEE Y iO.
SEWER CONNECTION i 40.0')
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
06/28/91 4225
TOTAL DUE:::: DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 5O.0O 50.0(-) .0O
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: WENDEL, GLORIA
SEWER STUB A%—BUILT INFORMATION IN AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS 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 **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3664 **********
******************************** THANK YOU *********************************
4 ` =.
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mu: App,:
(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 OpOCCUPANCY ONLY^`^~^^`~^^~``^`^`~^^^```^'
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O ssued:__ Certificate of Occupancy issued:
Office file review by: — . Dam.
Filed insp finaled by: Date.
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: ___' __- Date:
Plans returned: __' _______ _�necoi"euuv: —_
No response from owner/contractor plans destroyed: