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1991, 04-01 Permit: 91000490 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 authorizea kCounty to u with processing. In addition, I have reaand understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to c / ith same.All provisions of lu ordinances governing thisof work will be complied with whether sn/eu herein or not.I understand that the issuance of this permit/aplication and any subsequent inspection approvls 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 laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 91000490 ISSUED PERMIT DATE= 04/01 /9i PAGE= Oi ************************* ** PERMIT INFORMATION **************************** SITE STREET= 10821 E 30TH AVE PARCEL4= 2S543-45i2 ADDRESS= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION FOR RESIDENCE *** ELL NOTE *** PL 0= 001393 PLAT NAME= KOKOM T WN%ITE BLOCK= 45 LOT= 23 'ZONE= AG%UB DI%T4= A= F/A= WIDTH= DEPTH= R/W= OF BLDc%= 0 DWELLINGS= iO WATER DIST = OWNER= DECQFF STAN PHONE= %TREET= 1O82i L 3OTH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= %TAN PHONE NUMBER= 509 922 4594 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA ***************************** %EWER pERMIT ****************************** CONTRACT R= ENVIROGUARD INC PHONE= 509 924 5595 TREET= PO BOX i4i557 ADDREE%= %POKANE WA 992i4 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- PROCESSING FEE FEE 10.00 SEWER CONNECTION 40.00 " -,***************************** PAYMENT %UMMARY **************************** PAYMENT DATE RECEIPPAYMENT AMOUNT 04/01 /91 1697 50.00 TOTAL DUE=DUE= .00 TOTAL PAID= 50. 00 ` PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING _-------------- ------------- ------------ SEWER PERMIT PERMIT 50.00 58.00 .00 ------------- ------------ 50.00 50.00 5O.00 .00 PROCESSED BY : JOHN LAR%8N PRINTED BY : JULIE %HATTO SEWER STUB A%-BUILT INFORMATION IS 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 OTliEN EXCAVATION TO LOCATE BURIED CABLE% �A� PIpIN�, WATE� LINE%, ECT. CALL BEFORE YO� DIU SEWER STUBS ARE TO BE CHECKEDPRIOR TO CONNECTION TO INSURE THAT THEY ARECLEAR AND UNOBSTRUCTED TO THE SEWER MAIN ********* CALL FOR INSPECTION PRIOR TO COVER ********** ********* 24 HOUR NOTICE REQUIRED ********** ********* 456-3604 ********** ************************ ******* THANK YOU ********************************* `` 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 laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE ,+•`t•d}.,j.t;::.i..! NUMBER= i•},i`0 }.••,J0 DATE= '91 PAGE= APPLICATION -::;.:,r.— :;.::c:•.s:,:.:.::.::.::.:i..;:.:•.: :.•.:;.:c r.::.:•. 'r;"±::.t ********** *********K***** ****** :}j. ..,...,; t j...i•:! 7 :. ..... .. .. .. .�. ....:::. !:It i!'•:i}}..:..yj.j..:i. �:-,#.:f.:t •'# i -;: ADDRESS= .fr "N - :.:tit`;.. PERMIT UEE= 'SEWER CONNECTION FOR REEIDENEE .n,*;n, EEE I,., NO f E .};.i!•t• i'"i ,..} i .,..._ }-s s•! Y s PLAT NAME= #- i 1 3 # TOWNSITE ZONE=BLOCK= 45 LOT= 23 AREA= WIDTH= DEPTH= STREET= 10$21 E 30TH AVE ADDRESS= y=1::'#'#i r;.i!: '.. I�t'� {7iyJriy.� s LEFT=CONTACT NAME= STANNUMBER= '72 4'594 BUILDING SETBACKS : FRONT= NA : :?!s. d R N.rt!}.r!. A.A.rt P.,t*}{ u,}{}?P,.;t.;.*..�!_ !!i 3!i'F!r 1sr .':i:... ... - ....:;��:� : .t..R'!4 !.L r}. ..3}... J. ..P.:.:.,.:{....1Y 9t 7.A•7}. . .. . .. ... r- CONTRACTOR= �::.;�:, t t .:t_•rt.lr.a!•�.A: INC !• !li{ !�::"' _. . ?:: 4 55 95 . STREET= PO BOX 141557 ADDRESS= SPOKANE WA 99214 ITEM DESCRIPTION QUANTITY H7::E AmnuNT PROCESSINGFEE 10,00 CONNECTION SEWER 40,00 PERMIT t i (iiFEE AMOUNT AMOUNT PAID : f _ ' T OWING J :'G PERMIT 50,00 ,00 50 ,00 50 00 50 . 00 PROCESSED BY : JOHN LAREON PRINTED BY : JOHN LAREON SEWER STUB AS 1'S;_J.I}._ ! iN!...UmAoN IS AVAILABLE ;:'rf T THE COUNTY UTILITIES CONTRACTOR R :# APPLICANT TO FIELD LOCATE ,AND •�iiNF- 1-:`"i r: N AND POSITION t... SEWER ! t.?�::# PRIOR R i O ANY OTHER EXCAVATION TO F LOCATE##'t1 = F JI i #::(iCABLES, :i PIPING , t,:ia-t t LINES, ....... CALL B!::.:•f,31'•E YOU DIG (. 4568000) SEWER STUBSUB : ARE TO :1CHECKED I"'I'°,.!.i.!!•; TO CONNECTION 'i•#; .I.!•.:.. ..;1';:!::. i t•A t THEY (.:t!'=:#:. CLEAR f'y\I?_J UNOBSTRUCTED Ti THE!E .,!...V,IL.R MAIN ... .... .. .t FOR INSPECTION % ,. ? lit COVER i};..y,•}{.�••i!i•ii n n t}:•i}: ;}•}}••!,•�?•_}r N•it••jr;?,• ;r.u• HOUR ! !.. !.�'t REQUIRED *)k it*:!:.3,*3E. yC 1u: i ;: : i: R ii: } : iii ;! : 1 : d: : : i ? 1THANK Y�l..t... %e.....L.3.....!...!,r.!.!...:.....f!:•!..... `.f(........ :. SPECIAL CONDITION CHECKLIST Project Address: ________—__. ___ -- — -________ Project#_ --__-._____ _ _-----Use:_ Dept: Date: Condition: Init: Appr: (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._._ UL I D —._-- --------- —_._ T. Other__.______..-- —•' " ---- ---THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY" "'""""""" ' " '" Date received for C/O processing: Plans pulled for final processing Temporary 0/0 issued:_—______ _ ___ — .Certificate of Occupancy issued:____ .______ ------ Office file review by: ____ -_-------___. Date:-__-- ._.. Filed nap finaled by:. __ ,_--------___.--___—_. Date:------------.------._ Ninety days after 0/0 issuance: Owner/contractor called regarding the return of plans: __ ___ _ Date' _ _____ returned: _.__ ___ , Received by: -- -- --- No response from owner/contractor-plans destroyed: ____ _—__ _ _______