1991, 05-15 Permit: 91002618 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I 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 or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
lSIGNATURE OF aws regulating construction. alOWNER OR GA"ENT ,r1) ! I '$/ ---4--viDM APPLI
DATECATION
- i( _ EiT NUMBER=
?"BEt : ;
7 : ?: 6 ± ? .t.SSt!#.. t! PE::+t!!!. ! T:ir`s.i't,-._:: +.15.' 15.'91 #••`A..,:. .. 01
tr•r?•9t r:***•}r*1?•*ar*n*r h u !+it*3r•rt**Jc 3i•it ; ...R!!I T .[rvS I-t.l#";m Ai I t.,i N i?=*ii•a+:it•3i*i[•fit•9t•N•i}••1±••1C 9k 4k i?•!?•Fk'A•3?•J+::+k 3E*•}k•?•f+:
SITE STREET= 11316 t:. 28TH AVE C:=t 7 R±:..F.:L..•+r.... 2B543-4124
ADDRESS:::: SPOKANE WA 99206
PERMIT ii.`,ESEWER CONNECTION .... SOUTH i<f1lt.i:ii^t::t
3- •}ri, SI::.i::. NOTE E •, :-
I• •x..._ 001393 PLAT NAME= It•.t.3!:.I..I t"1 1.1 i O ki N S.. t '.
BLOCK= 41 I...j::#T.. %..t..Ft' {::::: iiia.'....:':;:. :? !.j.i.,
,r':} 00000000 F/A= F WIDTH= Oji::,::_'';..= RiW=
;;; i:t#.. BLDG"`.... tl. DWELLINGS= WATER#: R J:}:I ;. # ....
OWNER= GILLINGHAM, M L PHONE=
STREET= 11316 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CON..i.AC::"i NOME= HC:±I...TEN BROTHERS O T'HERS P::HONE: NUMBER= ": ''i0Y26 .'087
Biu:I:L.DING SETBACK : FRONT= NA LEFT:::: NA RIGHT- I`JA REAR :: Fext..
}li Pi*Pi 1i,..jy.j,.**i+i-Pi•}4••l+i•Ai•P:*•n•Pi*Pi•iG.j+.:ni.j{..jt..j,,*.!p..p. SEWER ;'F:R f` 7,T • -W:9k•Pi•i1"1tt'At')ti 9ti!l•'1G:?'•}:tk.ji..i:'):''A:'Jl....:1,..j;:!;..j,..!:9?•4'-:'!k-}:
CONTRACTOR= h "1EiBROTHERS ,riN# = 509
':.2 6 6978
STREET= 11704 E BTH AVE
ADDRESS= EPOKANE WA 9920
:I:_iEji sji::. t.:R.I.±.. T J:C:IN QUANTITY ?..Ei:.. AMOUNT
PROCESSING FEE r 10: 00
SEWER CONNECTION f 4+ ;,c.)0
:................:.•..:..::.:..:}::----::•,,:: ;.X* .-p ........ F- .,Y• --. ...........
n..},.j?..},.�..n..n:� n�+ n n n n n} ?!?� n�•1 ! } �c N:ai�?•�+:•n•�?. #•:?.:s�?''t E::t��?T� ,y i..I't+'�?1"!{"!I•,`-7 .!{..j,:•1{'•ll'7+..f?•9i fit•'j,.''j�:.!C••1+:•n�+:�n:•!t••A•ik il'.n..y:.n.:+:'n-!+:'R••n:.!L'
PAYMENT DATE I E:. REs:.1:Ii' i':a. PAYMENTr ? r•it"!OUN-?
05/15/91 91 .2922 0, 00
TOTAL
DUE= '••, TOTAL PAID= 50 :.00
PERMIT
I + r . , T } • iFEE AMOUNT "jOirPAID AMOUNT
OWING
•
SEWER PERMIT 50,00 50.00 00
I'`Ri.i!..I::. `.•',``ED DY :
JULIE :,,,.•,...•..;..
PRINTED i:f Y JULIE `'`i"i h t i •T i,:t
,:;?::.Wl::.I•=; STUB i.".•s '....sar..ii.#... # INFORMATION IS AVAILABLE ?:} t THECOUNTY
UTILITIES DEPARTMENT ( S56.... r,6tj4)
C::C:iN1RACIOi'+'. OR APPLICANT IS TO . FIELD LOCATE AND CONFIRM THE
F I...F V A i •I:i.i.l AND T I::'I I,``:`.I. # .l.i,j 14 OF ,.;I `t,!1#::.C'•`. STUB PRIOR TO i A N q OTHER
EXCAVATION
TO LOCATEBURIED CABLES, GASPIPING, W r "i E R LINES, ..
f�:
t::,t•1#...#... BI::.,.•;:IIs:±::. YOU j_!!. ... (456-8000)
SEWER STUBS TO BE CCi--IECKE::D? PRIOR TO CONNECTION TO INSURE
THAT ± 1.1 E:.T F�t t•;?::. CLEAR t.:,±•, t_! UNOBSTRUCTED T'i i T'i.�':. `.'i..i, I=�I'+° MAIN
*•n•a?..R.n.*.n..n:•n: CALL ±..,..1 I•': INSPECTION PRIOR TO COVER
..................
4 i'titii NOTICE REQUIRED **:tri+;i+i ii 3cfEif:*
+ .... .. l ,,,....... :it is it n:n:$+i in ji j,;
j {j } jj j ( z ?nk e! nF 9 9 i aRt t 1 9 : int ?nnTHANK t )i99Pit t Rii f 9 : Jf! i 1trr nn: nry n1P9
SPECIAL CONDITION CHECKLIST
Project
Address: . `
Project#L
Dept- Date: Condition: mit: Appr:
(in) (out)
Deptof Bldgs | i �
--------- Specou |nop�Final Report
| /
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Lock Box ' |
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Engineer's RID/CRP .
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Easements ' ��� ' � ` . `
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Road Plans/I
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Planning.__ �� ����� `' ' Bonds '' '•
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THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY``^^~^~~~~~`^^`~~`~~~`~`~^
Date received for O/Oprocessing: _ ���_� - ' � - ` Flans pulled for
Temporary 0/0 ssued __- __ —' ` . Certificate,dOccupancy issued: ' �. ~_-_
Office file review by: ' ' ' °` _ Date:
Filed inop,,finaled by: �___ +_ � ' � ' ' _ Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: __ Date:
__-
Plans returned: _ Received by'
No response from owner/contractor plans destroyed: