1991, 06-28 Permit: 91003718 Sewer SPOKANE COUNTY DEPARTMENTOF BUILDINGS
~ '
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oom,vmvt/»uvooxammoom/enmm/vannnnat.on.otatomutmomm,muonnuonmmoomuunoouumumouvmeonnvagentmvomvxooumn rmit/application is true
and correctand authorize Sokane County to proceed with processing. In omo I have read u 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 issur nce of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th- , ovisions 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 AG DATE
PROJECT NUMBER= 9i003718 ISSUED PERMIT 5ATF= 06/28/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= ii823 E 38TH AVE PARCELO= 3354i - 004
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - MIDILOME 6TH ADDITION
*** SEE NOTE ***
PLATO= 005026 PLAT NAME= MIDILOME 6TH ADD
BLOCK= 5 LOT= 3 ZO = UR-3,5 DI O= F
AREA= OOOOOOOO F/A= F WIDTH= 141 DEPTH= 95 R/W= 50
0 OF BG%= i 4 DWELLINGS= i WATER DIST = MODEL
OWNER= GREMY INCPH0NE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FRANK COBBPHONE NUMBER= 5O9 924 94O6
BUILDING SETBACKS : FRONT= NA LEFT= NA RI�HT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION - QUANTITY FEE AMOUNT
------------------------- -------- -
---------
PROCE%%INGFEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/28/91 4228 5O.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 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : WENDEL, GLORIA
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
_
CONTRACTOR OR APPLICANT I% 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 (45"-800O)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
* ******* 456-3604 ********** *n°^
******************************** THANK YOU *********************************
Mk, -40
^ �
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: . !nit: Appr:
(in) (out)
Dept.of Bldgs
Spooia| |nop 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 opOCCUPANCY ONLY~~~~~^`~ *~`~~~~~~~~`~~~'
Date received for C/O processing: n�nopu|�dhnnmgpmoan�mz
Temporary C/O issued: .Certifinete of Occupancy issued:
Office file review by: . Dam:
Filed inopfinaledby: Date: ~ .
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: . Date:
Plans returned: . Received by:
No response fron plans destroyed: