1991, 12-05 Permit: 91008423 Sewer .
SPOKANE COUNTY DEPARTNIENT OF BUILDINGS
W. BROADWAY�20� AVENUE
SPOKANE.WASHINGT0N 99260
(509)456-3675
I certify that I have examined this permit/applicationummmunoom/o,mxuonvontumoum/tand nuummoo»vmoonnv� u
�nuoomnoeovm permit/application true
and correct, andauthorizea kCounty m proceed withpmvm,un« In additionI have reaand 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 tha e suance of this permit/applicati, and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or c cel th pro isions of any ta -or local : regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construct' n.
SIGNATURE OF 0 APPLICATION ? 5 --V
OWNER OR AGENT DATE
PROJECT NUMBER= 91008423 ISSUED PERMIT DATE= 12/05/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 121O6 E 38TH AVE PARCE3354i ---9004
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - MIDILOME 6TH ADD - (91 %-121 )
*** SEE NOTE ***
PL A T�= 005026 PLAT NAME= MIDILOME 6TH ADD
BLOCK= 2 OT= 6 ZONE= UR-3.5 DI%T4= F
AREA= 08008000 F/A= F WIDTH= 87 DEPTH= 130 R/W= 50
4 OF BLDG%= 4 DWELLINGS= i WATER DIST = MODEL
OWNER= HA KIN% CONSTRUCTION PHONE= 509 922 1047
STREET= i3718 E 41 %T CT
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= JOHN HAWKIN% PHONE NUMBER= 509 922 1407
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ************** ***************
CONTRACTOR= HAWKIN% CONST CO PHONE= 509 922 1047
STREET= 13718 E 41 %T AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
4 SEWER CONNECTION i 40 00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/05/91 9249 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50. 00 .00
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 BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
- • -
SPECIAL CONDITION CHECKLIST
a 1
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
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Date received for C/O processing: , -Plans pulled final-procersingL • ,••
`ri 1:4 IAT .E ./.1 k :!• ts) I„ Jk.;
Temporary C/O issued: 00011jeajeTtit 0 ccitiaficyd: lfliRi
Office file revi•?114Y.•.,-.1 r. T 6 T..157i T T 3f1 or 'HA R. •
Filed insp finaled by: A Iii l*::141 IT t.i 1 (1 T•1 bâi .Hfji1tIff.4ria . 31. HT IptiOf
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Ninety days after C/Ofitisiiatit&ov**•'(.x** *********
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Plans returned: Received by:
No response from owner/contractor-plans destroyed: