1991, 11-25 Permit: 91007233 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 orcancel 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
t [ i ,.? E ?..: ? NUMBER= 91007233 ISSUED 1"`::.tt?''?.!. DATE= 11/25/91
}!: 9; 4!• 9k' ?: i+E iS' •P: •}`: 9k it• •!!: 7k 9t •!k :lY •!': i+t :!• 1?' ?!: •!� 9!i •}!' :+i 'P: •!': ?3: P?'iM.?.? INFORMATION
SITE STREET= '! 5 •. 2 6 {.. -: j'..} t ! ; !•a a ?::. A R l.:.-.. L Vii ..... 265444904
ADDREli}:.._»,;_. fir:-Is.��_} •..-L.• Ili.: ;,.,y,.
SS= ." 1'•'. ?::.: ,:..... l.... h { ... f3 L...::. WA � r
PERMIT USE= SEWER CONNECTION - VERACRES''l*
PLATO= 0OIZ93 PLAT NAME- MCLAUGHLIN ADD
BL-t_jCK:::: 1.1.1 ListT.-. :Y :t'ON1.= ,`'•;FR 1}IS'i':;;:::::
OWNER= WILSON PHONE:--
:' T 4 E E T = 1026 E 26TH
,_">I 'i fel V 1::.
ADDRESS= VERADALE leiA 99037
CONTACT NAME= STEVE -... CRISP CONSTRUCTION PHONE NIJMBFR= 509 534 i505
BUILDING SETBACKS: FRONT= NA LEFT= ''•?A RIGHT= Nfit ?•'•:l::.AR:- t1t•,
i7 :,;. ;[• :l+: R.:p:.}!: •Ni :2 •}!• y!; •}k 9l• lk 1t' 1{• •}k 1+.• i!r )t' '}+i )+i •R• •}+i '}t• •Ni 1!i Pr :4
SEWER Pi::.RM.i.i 9!• :p: •#.• %t• 4t• �)l• -}t-• •A; 'Jr '!!: '}+r 91..!(..}j..j¢ .}+..74..};. �;, :lj..}!i 9+: 9rr iii �JE �!!r •Pi id• •hi •R•
CONTRACTOR= CRISP CONSTRUCTION IN.''.:.' PHONE= 509 534 005'
„ ADDRESS= SPOKANE WA
99202
ITEM DESCRIPTION QUANTITY FEE AMOUNT*
_ .................... .... ............ .... —-....................................-. — -------- .................................. ----
PROCESSING FEE Y i%o()
SEWER CONNECTION
.. t. i. r. J. J. 1. 1. J. 1. P. $. ,. J. F.:. }... F..t R. Y....t !. 1. 1. P..!• 1... PAYMENT SUMMARY
:. !. 1k .... !. ). !... J.:t .. J.:..l• ..:t J... ,+. 1.... Ar +i •}+• }t•'JG •ji:
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
TOTAL DUE:::: TOTAL PAID= !0100
PERMIT TYPE AMOUNT AMOUNT PAID
"•::''•}ID AMOUNT OWING
--------------- .........-...........-.......................... —....:....................................... —...........::............................... ----
.......- ._......... .... ......................_ .... ------------ --...-...-..__..-..-...-_...-._--...----
PROCESSED BY: DOM! ------ H ROBIN
TANOT
PRINTED BY: DOM11ROVICH, ROBIN
EWER STUB 1. B Ar::—B_IL{ INFORMATION IS AVAILABLE AT THF COUNTY
U-TILITIE,"'3' 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 .. f 3 B f... ?::.::: GAS y I i-` ,}, {`'+ i..-. WATER LINES, E'. t..: ..
SEWERCALL BEFORE YOU DIG (456-8000)
STUBS ARETO .%s'.::. i..;l••iEf,;;:ED PRIOR TO Ci:;;?j':,?v:-{•.? ;'N ;•f' NEL RIF: .
•}!i 4k 8j: •R• a• JJ: •!k �+:- i+:
CALL , , , ! -, .?- t•'. , . .. t ; ? .t. ?. 1 N PRIOR ? O COVER •fii iyi er :lj..}{ :7F :+i •}+i it:..�;.
a; �t 9k h 4+: N: 3! !!•
24 M U {••{? i J t .?. REQUIRED
4..•r::....3603
.,{. _,j. �. jj. gi• ;x; 3,: 4t• •!r 4t. J,. N..}t: -!!. _+!. .!+: it :tC :+tr •F: 9+: 3': ?t.:y: 9'. 9': 7k• 7"J`: 4t :R' 9k'
THANK 'j 1 i,' jk :,:• •)`i )>.• 9Fr fY'}`:f' 9: 3!r '}t f: }!; .},.: t.:,.. j. iur '}7 • i- ini i!Y .7j. .{;.. •,... -.. !.... ;:r• ite• �pi
Project
Address:
Dept:
SPECIAL CONDITION CHECKLIST
Project # Use
Date:
Dept. of Bldgs.
Engineer's
Planning
Utilities_
Other
inif•
*************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ******************************
Date received for C/O processing: Plans pulled for final processing
Temporary C/O issued:___ . Certificate of Occupancy issued:
Office file review by Date:
Filed insp finaled by: . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned Received by:
No response from owner/contractor - plans destroyed:
......
(in)
(out)
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
3onds
3onds
Double Plumbing
JLID
*************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ******************************
Date received for C/O processing: Plans pulled for final processing
Temporary C/O issued:___ . Certificate of Occupancy issued:
Office file review by Date:
Filed insp finaled by: . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned Received by:
No response from owner/contractor - plans destroyed: