1991, 05-24 Permit: 91002840 Sewer SPOKANE COUNTY DEPARTMENTOF 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 SkCounty to proceed with processing. In uum I have read o understand the INSPECTION Eo ME
provisions included herein and agree to ommvwith same.All provisions oflaws and omm"n'mo '/ this type of work will be complied with whether smem
herein or not.I understand that the iss nce of thion and any subsequentinspection approvals or Certificates of Ocshall not be construed to
give uumontymvm/umo,ounoon»,.'."/ / .t 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 N�r � APPLICATION^�— ^1 �� /
OWNER OR AGEN ~ DATE
(
| '
PROJECT NUMBER= 91 ()02.840 ISSUED PERMIT DATE= 05/24/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1,1808 E 38TH AVE PARCELO= 33541 -9004
ADDRESS= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - MIDILOME 6TH ADDITION
*** EEE NOTE ***
PLATO= 000000 PLAT NAME= UNKNOWN
BLOCK= 4 LOT= i ZONE= UR-3.5 DI%TO=
AREA= F/A= F WIDTH= 80 DEPTH= 145 R/W= 50
0 OF BLDG%= 4 DWELLING%= i WATER DIST = MODEL
OWNER= GR MYINC - PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= GREMY INC PHONE= 509 924 9406
STREET= i2212 E %IOUX CIR
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- --------
PROCESSING FEE Y • 10.00
SEWER CONNECTION 4000
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/24/91 3209 50.00
------------ �
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMITTYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O. 00 5O. 00 .00
-- -
50. 00 5O.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : JULIE SHATTO
SEWER %TUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, �A% PIPING , WATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG ( 456-8000) � ��� ��� -
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N % T D TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU **************************** ***
SPECIAL CONDITION CHECKLIST
fi
Project t ,
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
Utilities — Double Plumbing
ULID
Other
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing: . Plans pulled for final processing:
Temporary C/O 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: