1991, 06-27 Permit: 91003659 Sewer r
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 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/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 -- -e — `" APPLICATION 7 _
OWNER OR AGENT , DATE
9 /
i-'R't_ iE'^:•"- NUMBER= 91003659 ISSUED PERMIT DATE= 06/27/91 PAGE= {: '±
........MA. ...:.
„
$ti-7(•-h:•i+i•Ri•1i•-!+i 7E +i•}+:'Pi•7�i h isr 3,i?�:•P:4k:R••P:4k n:-ti• +:•i�+i'Bi�Fi�!>.• '�::.`e'",,!i. .,.r�� ..!. .�t fl ± ,�.t,f±'a :k***************:************
SITE
STREET= 21
15 ... 30TH ... ' .... 7..... 33541 -9004
,
ADDRESS= SPOKANE WA 99206
PERMIT
, . ' T , r : SEWER
EtIR t\ • 1 } tfV . " I 7 tt
± 1"i6TH {-'ij,1 .!:± ! ...t.t Q
PLATO= 00502PLAT NAME= ±"±!..i%Ii..•t_1Mt^, 6TH .,!/1i
WIDTH= pc.
MODEL -
OWNER=
y,i
•,.- OF1;•{...lit.v,:;:::. t .t• DWELLINGS=
i WATER O ,N E R» IRONWOOD
HOMES PHONE= 509 922 4141
STREET= P 0 BOX 141291
ADDRESS= SPOKANE WA 99214
CONTACT N.i : = JOE t ! ! , i PHONE NUMBER=
;;
> ' .
4141
BUILDINGSETBACKS : itLEFT= Ni RIGHT= NA REAR=
NA
K*a:* .,::(.*:,::u:.t,:.}i.•(.:,:::.t}.4+i i+r!i'•h:•51: 31•it:Pr ji.*•)t•'k• SEWER i.:Ei' p1t,I if•*i¢-Ai*•Pi R-Pi ai iii.** e••p;:p;•i,; : ?+i 7+.:y:*•x*.3E.jai.'k-A-*-Pi'Pi
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
:t!tt_?±;ESS.... UNKNOWN ;.!A UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING 1:-i::.I::: I -10,00
SEWER . :tvECT ± tV i 40,00
.. .. ,••.., Y.,,E, .., .:4***************************
,,,,.ya:?,..,,..n..p.j,..?;..!,..!,.;,,..y..?S•�?+:•?t:ik-P:4k-f+:}+:4C 9l-•R•'!k•Pr•P;3r 4+::u:-P:•P: t•`g.}•(t'±h,±`•j ' S 1,�±�i'i(•�l tt''F �?+
06/27/91 4168 50,00
TOTAL t AL. DI..UP:.... ,00 TOTAL l•S Al._ PA I DD.... ..%;'..: ?':?
PERMIT 3 '( ±-'±::. FEE AI"it.!t.3N ± AMOUNT r•t•t.,.._• AMOUNT OWING
SEWER PERMIT 50,00 50„°° ..+,y;!
50,00 50,00 O _ ;0
PROCESSED ( :.!t.!±...I±::. .' a{••1 , !
PRINTED BY : WEN 1 t i•:. _t GLORIA
SEWER STUB ` r .iI. INFORMATION
yt ' t` A' I ;N i. AVAILABLE
t $ i ! Zii . a tTE COUNTY
UTILITIES DEPARTMENT
(456-3604)
CONTRACTOR 1ti APPLICANT
t :I1CrIi . ' ktFIELD
i � fLOCATE i �� ' SOTHER
I
" THE
ELEVATION AND POSITION 1PSEWER _ ; PRIOR TO ANY
a'i:'.
EXCAVATION
.,..:.. LOCATE
-:E i;I-,;i i°I: ': j CABLES ,G GAS {::�:1-`.I !-,i i,. ! WATER LINES, ECT ,
:.,..,.r..,..,
STUBS A(t!::. TO BE CHECKED PRIOR .{.l. CONNECTION TO !,ta ,t,tPir:.
THAT l ! Hi::.Y taRi... {_;_,:.AR AND UNOBSTRUCTED TO THE SEWER MAIN
... ... 44 ..... CALL ,...,..,,...
•?,:•>i:;t•:+:-!+:�t.fi•st•;+: t..t t P'•: INSPECTION PRIOR (i.1 COVER !_:N:•P:P:•P:*•l+:•A:'A:1+:
,F.*:+i•it- t• E* a:: ::::4 HOUR NOTICE REQUIRED ....u.•'ri-:i•)>:•-)v*--..
)1:.•)(.:+,i Pi'Hi'.4-Pr i)t::,,, 456-3604 :.::n::n:-p::u::+:1 1 'h:•1
.............::.:,:::.*.-X- ...��..3, :1:. ..t:..};.:,:-:,::•.:y.:,:. 31*3 ,*..j:.:�:)t•9 3*3.,:..�,..,}j(..,:.;,i•:+t 8':3*:t•3*9!'**fk i!•:+i.r* :::,!.,,t..!,,,s.
:C Tt-7k 4f:?+:9L••tt•),.?k:,,..,,.,+,•:..at•!. a?. pk:H:-!�:1:::7t- . ... .L ti.... ( !"!(^f f'4!�: (t..!t..
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 -
s _
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: