1991, 06-28 Permit: 91003639 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINurON 99260
(509)456-3675
1 certify that! 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 r visions 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 �L' �f�� DATE
t.' R ,,•; .. r f::. t.: ± NUMBER= 91003639 ISSUED PERMIT DATE= 06/28/9i PAGE= 01
PERMIT INFORMATION
ADDRESS= Vi::.i•4A.ti tL_E WA 99037
PERMIT USE= SEWER CONNECTION
1•'t. t••t ± .,,..... 000000 PLAT ,;,r.rtt"tE::: :.jN#:fv...)tMN
BL..t:ii':K= i-;' ;-t,T= ii ZONE= U1._ , 5� 1 = F:-
AREA= 00000000 r . i .::: (- WIDTH= DEPTH= :.. } f
0 OFBL..:CJ :�'= .i EL±..... i WATER DIST. = VERA
OWNER= t1 hS. .Jy i.': ASSOCIATES IN(' .: PHONE= :•. 509r� .:'7 0782
FRONT=OX 14084
ADDRESS= SPOKANE WA 9904
CONTACT NAME= BILL SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: LEFT= ;,,# A RIGHT= NA REAR= NA
,
+i ii S+; ,: a) -U) :+{ i+; iar i+: ){ hr :�{ :i ii a+: n) h} -h} n: >•: i¢ i+r i; :n' j{ )t u: )i•SEWER PERMIT
H Pi P Pi Hi lE Pr Pi Pr 1C R Pi Pi j{ j1 jE P :1.i l,i ini :�i R i+ ni i4 h: a: 'r: }+;
CONTRACTOR= i.jl:t= i.flAF1':NCt'txlN ,-.,,:-.,,E
STREET= UNKNOWN
ADDRESS= UNKNOWN .....M N . I t t UNKNOWN
1:-i'E.:i"i DESCRIPTION QUANTITY FEE AMOUNT*
-------------
PROCESSING CONNECTION. Fi::: E:: Y i �::j „ o?l.)
SEWER: i 40.0,'.)
Ja; .,,..J?..1,, ,„..,,..p: •1C 9,; •p; p; •,¢ .J?' . i j¢ i+i 9+1 r: )L• A:• •)+i 'A:' 'R) i+i 'Pi •)+i •Rr i+?' 'Ri ';t: •1`.'PAYMENT SUMMARY •74 .P:.1,:.1t .j,:..Pr 'P: '�i •Pi 'Pr •Ik ')k 3+) 9k .R..1?..n..P: •P.:n:.}} jt...%,::............:...�..
PAYMENT DATE ...: E.±. I::' •; 4: PAYMENT AMOUNT
06/28/91 4223 5%00
TOTAL DUE= TOTAL PAID= 50.0()
PERMIT TYPE P E.. F t':. E AMOUNT titN• i':+UN'iT PAID A MOUNT OWING
--------------- ....................--.
SEWER PERMIT 50.0(-) 50400 400
PROCESSED BY: jULIE SHATTO
PRINTED BY: WENDEL, GLORIA
SEWER STUB t1::.... I:. E.1 'E. {rI.��.. 'T INFORMATION _. , AVAILABLE AT THE COUNTY
UTILITIES
NT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND
Pt4.Ti_N 01` SEWER \-U;PRIOR TO ANY OTHER
EXCAVATION
TO
LOCATE BURIED ' ' ' . :L NG , WATER LINES, tT ,"7ii�i.
CALL BEFORE YOU -tt::t_ ;"Vj
.j:,.,.j(..){• .hi 'Ni •)l• STUBS
( ttE tC f ! ! CHECKED
;.i::EEIti-.CONNECTION - [ INSURE • EE
HAT "1rARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR INSPECTION PRIOR TO
COVER
•h: it .j,: k..j{..h: •H} �ii •a• •h:
4 HOUR NOTICE REt aUIRf;` � _.:1;..jt..j;. �;.:�? it i? i,•
:a s+: �t. ri. •i,: d{ :t j,: i;
456-3604
:: `: ?+. ?t' 3t- H• !:. It :+h •)E• 9:' 4�: •1l -'h: )k 9V 4!• 7� )� •)�• it• iE i+r 1$'A• 1t• 9t P )+r 9+) hi r* 11 1A, .±K YOU t} 1i' # ri� 7t• 1 ' 9t• iR• l+) 1t •R' i+F •tk• it• x• IF :1t.:?• s+C• iN N• ?F J?- H' i$ ?F fi: � !. )i- ';'i s?:
� 1*
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept.of Bldgs.
Special InspFinal Report
Hydrant( )
' |
Lock Box
| i '
| --
snoinoors RID/CRP
Easements
Road Plans/Improvements
Bonds
| --!
| --/
Planning Bonds
•'
Utilities / __` Double Plumbing
--`
ULID
- -- --
- ( --
_-'
Other
--
--
~—^'`~``~~```~`~`^```~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OrOCCUPANCY ONLY`~^~^```~``~`~``~```````
Date received for C/O processing: -- . Plans pulled for final processing:
Temporary C/O issued:. Certificate ol Occupancy issued:
Office file review by: _ . Date:
Filed insp finaled by: �Date-
Ninety days after C/O issuance:
am-winetydaysahe,C/0inovonoe
Owner/contractor called regarding the return of plans: Date:
Plans returned: neceivouuy-
'