1991, 05-24 Permit: 91002842 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BOAWAY AVENUE
, SPOKANE,WASHINGTON 992$0 N
(509)456-3675
�
certify that I have examined this permit/application,state that the information contained in it submitted or agent nnn/aovnoatmis
perm /application
and correct, and authorize Spokane County to ou withnmooss."o In additionI 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. .visions 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 All Ca/ APPLICATION
�
PROJECT NUMBER= 910O2842 ISSUED PERMIT DATF= O5/24/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i1816 E 38TH AVE PARCE10= 33541 -9004
ADDRESS= SPOKANE WA 99206 '
PERMIT USE- SEWER CONNECTION - MIDILGME 6TH ADDITION
*** SEE NOTE ***
P A 41:= OOOOOO PLAT NA = uNKNUWN
B O K= 4 L = 2 "yr,-.... UR-3.5 DI% = F �
�R A= F� = F WIDTH= 80 DEP+H= i63 R/W= 5O /
0 OF B;D %= 0 DWELLINGS= i WATER DIET = MODEL
OW 6 |
'
R= � EMY INC PHONE= 5O9 924 94� /
%TR T= i212 E %IOUX CIR |
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE FEE Y 10 . 00
SEWER CONNECTION i 40.00
******************************* PAYMENT %!}mmARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/24/91 32i5 5O ,0O
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
'
SEWER PERMIT --------5O---OO ------ 5O.00 ----- -----.00
.
50^00 50.00 ^OO
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
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 OTHER
/
EXCAVATION
, TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFOREYOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECED O T CONNECTION TO ..INSURE
THAT THEY RE CLEAR ANUNOBSTRUCTED� TO THE SEWER MAIN
. *********
CALL FOR INSPECTION PRIOR TO COVER **********
******** 24 HOUR-NOTtCE REQUIRED **********
^ ******** 456-:S:,:O4 **********
! *** ** *************** ******** THANK YOU ********************** **********
'
'
�
w, ^
L.
SPECIAL CONDITION CHECKLIST \ -
` ` ` . � ` �
Project `, \-1i>� —' ' _
Address:
Project# Use
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldg
Special Insp.Final Report
Hydrant( )
. ` _ Lock Box
Engineer's RID/CRP
Easements
--
Road
Bonds
-- '
Planning ' ` � _- Bonds
Utilities Double Plumbing
ULID
_-
Otho
| --
~^`~~~~~`~^`~~~~^^~~~'^^~`~_THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE oFoCcupAwovOwcv````^~^~~~^~^_~^~`~`~^``^^`
Date received for C/O processing: ` Plans pulled for final processing:
Temporary C/O issued: �� ' ' ' Certificate of Occupancy issued:
Office tile review by: Date: ^ `
Filed insp finaled by: ^ ' . ' ^ . Dote:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plansDate:
Plans returned: Received by:
No response from plans destroyed: