1991, 05-22 Permit: 91002759 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 Svxuno 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. / /
12.
SIGNATURE OF APPLICATION s_..5/2/.0 ./y/
OWNER OR AGENT , nATE
_.
PROJECT NUMBER= 91002759 'ISSUED PERMIT DATE= 05/22/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= ii316 E 34TH AVE PARCELO= 33542-0812
ADDRESS= SPOKANE WA 99206 ` .
PERMIT USE= SEWER CONNECTION - TPI
*** SEE NOTE ***
PLATO= 004472 PLAT NAME= %P-612
BLOCK= LOT= 2 ZONE= UR-3.5 DI%TO=
AREA= 00010155 F/A= F WIDTH= 80 DEPTH= 126 R/W= 60
0 OF BLDG%= i 0 DWELLINGS= i WATER DI%T = MODEL
OWNER= BRAUN%CHWEIG CONSTRUCTION PHONE= 206 854 6100
STREET= 25725 E 101ST AVE %E
ADDRESS= KENT WA 98031
CONTACT NAME= CLARA MAY BIDDI%COMBE PHONE NUMBER= 509 255 9510
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
PHONE
CONTRACTOR= =
STREET= UNKNOWN
ADuRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION
******************************* PAYMENT %UMmARY ****************************
PAYMENT DATE ' RECEIPTO PAYMENT AMOUNT
05/22/91 3120 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 .OO
------------- ------------
50,00 !!5C.),00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JOHN LARSON
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIESDEPARTMENT (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)
%EWER STUBS ARE TO BE cHFpvrn PRIORTO CON ECTION TO INSURE
THAT THEY ARE ri FAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
************** **************** THANK yOU *********************************
. .
* ' -
SPECIAL CONDITION CHECKLIST
. \
Project
. �
Address: Project# __ Use:
Dept: Date: Condition: |nit: Appr:
|(in) (out)
| '
| |
----- - --/ ----------- -- - - ------- ---' -- \
Dept of Bldgs
{ Special Insp. Report
� !
-------- --| ------- - -- - -- --- -- -
Hydrant( ) � !
_ _ _ -_ Lock Box
---------' --| --- - --/ -- -------- ! - |_______
---------- -- --� --| ---- -
! -- ---- -�/ -- -- �
enoineera___ | _ - _| -_! RID/CRP _
Easements •
' |
______________ / -_ | _-| Roagplans/Impm"emema_
Bonds
-- | -- � --
| ' �
-- ! --i -- -- |
•
- - --- ' --) - --' |
| ! '
| '
--- -- | - --| --- -- !
Planning__-- __/ _ _- __} -_| Bonds
. �
--- ----- | --- -- / --| '
-- - --- -| --' --| / / --
------ - -- ' |
-------- / -- -- | -- |
- -- | --| -- '
Utilities� __ ' __ __| __/ Double Plumbing
•
ULID
! i |
------ | i -- - ---- '
--' ! i --| - --------
--- -- i -- ' --| ---- .
Other !
---- { - --i --| --' ! --
- | --
--- -- --- | --| ---
--- — — - ------ |
-- -- | - ' -- --- ---- - --- ! -
________ _______ _____________
`~~^^~`~~~~~~~^~`~~^~~~~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY``~`^^~`^~^^`^~^~^`^`^~`~~
oate received for C/O procesino: __- Plans pulled for final procesing:
Temporary dO issued:. Certificate of Occupancy issued: __-_ __- ______
Office file review by: ___I.____ ____ __ .00m: ____ _'_ _.
Filed inaphno|nd bv:___ 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: _____ __ __ __ _ ___- _______