1991, 04-25 Permit: 91002086 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
VV. 13B3BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/certify that/have examined this nmmnmpnnuuuonotomanxomm,muxonoonmmoumuand nvummou»vmoonn'�entmcompile a�up permit/application� m
n � o
and correct, andauthorizeo kCounty m permit/application,
with nmvvovmo 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 loca law regulating construction,or as a warranty of conformance with the provisio .of any state or local
laws regulating construction. I \
iN
SIGNATURE OF ( 4 ).- /i . APPLICATION z//: _s.--
OWNER OR AGENT abi-J.IP.Ak s, % pm J DATE
PROJECT NUMER= 9i002086 ISSUED PERMIT DATE= O4/25/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 10620 E 28TH AVE PARCEL4= 29544-060i
ADDRESS= SPOKANE WA 99206 /
PERMIT USE= SEWER CONNECTION / CHESTER HILLS •
*** SEE NOTE ***
PLAT4= 000382 PLAT NAME= CHESTER HILLS ADD .
BLOCK== i = i ZO = UR 3^5 DI%T4= FR/W
���AREA= = WIDTH= DEPTH= =
0 OF B = 4 DWELLINGS= i WATER DIET =
OWN R= STRONG, PHONE=
=
STREET= 10620 E 28TH AVE
ADDRESS= SPOKANE WA 99206 ..
CONTACT NAME= HOLTEN BROTHERS PHONE NUMBER= 509 926 9087
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= HOLTEN BROTHERS PHONE= 509 926 6978
STREET= 11704 E 8TH AVE
ADDRESS=. SPOKANE WA 99206
ITEM DESCRIPTION • QUANTITY FEE AMOUNT
------------------------- -------- ---------�
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40 .00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/25/91 2336 50,OO
TOTAL DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE
__ FEE AMOUNT_ AMOUNT PAID AMOUNT OWING
-------- —��� OO
EEWER PERMIT 5O.00 50 .00__ .00
50.00 .00
PROCESSED BY : JOHN LAR%ON
PRINTED BY : JOHN LAR%ON
%EWER STUB A%—BUILT INFORMATION I% 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 CHECKEDR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL � INSPECTION PRIOR TO COVER **********
. ~ **
^ -� ~''^^24 HOUR ******** .
,p:-),:-**-**.)::-4(•,* � � -
********* 456-3604 **********
************************
* ****************************** THANK YOU *********
SPECIAL CONDITION CHECKLIST
Project
Address: Project#_ .__ Use:. --_ ________
Dept: Date: Condition. !nit: Appr:
(in) (out)
Dept.of Bldgs.
_____ --- Special Insp, Final Report________ Hydrant..___ Hydrant ( )
---- Lock Box
Engineer's___________ _— RID/CRP
_______ _._ Easements —_--
---. Road Plans/Improvements
_.._-.____ `__-- Bonds_-- ----___.--
•
•
Planning.______.__ Bonds
Utilities_ Double Plumbing
ULID
----------
Other_
SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: __ __________ . Plans pulled for final processing:____—__
Temporary CIO issued:___._______________ .Certificate of Occupancy issued
Office file review by; . Date:
Filed Insp finaled by: --_—T._ 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 -_- —_—_-- �_-- _--