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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: