1991, 05-21 Permit: 91002774 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 m 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/appli .tion and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of aqystate or loca ,w regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
44111,
SIGNATURE OF APPLICATION 5-,A.1 /
OWNER OR AGENT DATE
PROJECT NUMBER= 91002774 ISSUED PERMIT DATE= O5/21 /9i PAGE= 01
************* ** *********** PERMIT INFORMATION ****************************
SITE STREET= 12126 E 37TH CT PARCEL4= 21541 -0219
ADDRESS= SPOKANE WA 99203
PERMIT USE= SEWER CONNECTION - TPi3
*** SEE NOTE ***
PL T4= 004369 PLAT NAME= MIDIL ME
5TH ADD
BLOCK= 2 LOT= i619 ZONE= UR-3^5 DI O=
F
AREA= F/A= F WIDTH= DEPTH=
R/W= 5
0
0 OF BLDG%= 4 DWELLINGS= WATER
DIST = MODERN
OWNER= IRONWOOD HOMES PHONE= 509 922 4141 |
STREET= P O BOX 14129i
ADDRESS= SPOKANE WA 99214
CONTACT NAME= JOE PETTIT PHONE NUMBER= 509 922 4141
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= IRONWOOD DEVELOPMENT CO PHONE= 509 922 414i
STREET= P O BOX 14129i
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--��� ���. �� ---����� ���
---
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
**********/ ******************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/21 /91 3099 5O.00
-
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT
TYPEFEE
AMOUNT
--
AMOUNT PAID AMOUNT OWING
- - __ ----
SEWER PERMIT 50.00 50.00 00
________ �__
5O.00
50.00 .0O
PROCESSED BY : WENDEL , GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CO TRA TOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE , GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
%EWERSTUBS
ARE 1-1 :a7 H T C ECTIOTO
IN
%URE
THAT THEY ARE CLEAR � UNOBSTRUCTED DI
N
*****.*** CALL ^ O� 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 T
•
Utilities ___ - Double Plumbing
ULID
•
Other_ __A •
•
" •—*THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY"""`"""""*"""""""'""""""""""
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 insp finaled by: . . 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:_