1991, 08-06 Permit: 91004418 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 correctand authorize Sm^ County to proceed with processing. In addition, I have read o understandm 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
PROJECT NUMBER= 91804418 ISSUED PERMIT DATE= 08/06/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11423 E 37TH AVE PARCEL4= 33542-2606
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - DI%HMAN-MICA INTERCEPTOR PKG 45
*** SEE NOTE ***
PLATO= 000114 PLAT NAME= JOEY MARIE 2ND ADD
BLOCK= LOT= 6 ZONE= SFR DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST
OWNER= DAVENPORT/SPEAR PHONE=
STREET= 11423 E 37TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TOM STONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 77i0
STREET= PO BOX 14154
ADDRE%%= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.O0
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/06/91 5365 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50.00 50.00
5O.00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE %HATTO
SEWER JTUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF EEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (45 -80O0) ' ' ^
%EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE JEWER 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.Final Report
Hydrant( )
------._. _ Lock Box
Engineer's RID/CRP �__--
Easements_ . •
-- - -- Road Plans/Improvements
—__ — Bonds
Planning._ _ Bonds
•
Double Plumbing —
U L I D_ —__ — ---
Other_.___________ ,
•
"*-**'*******"**-- `"'*'*'THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCY'ONLY***"**•********—"***********
Date received for C/O processing: _•_ _ • : :.: __. . .Plans pulled for fnat''processing
Temporary 0/0 sued: «M__ • L._ :Certificate-of Occupancy issued:.
Office file review by: --- ------._: Data:� — __ - - ,
Filed insp 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: