1991, 12-06 Permit: 91008426 Sewer 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 canc• ••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 constructio 40
SIGNATURE OF a�� �� APPLICATION /
OWNER OR AGENT .Z. i DATE
PROJECT NUMBER= 91 008426 :ISSUED PERMIT Df-1 T E-- 1 :: 06/ 1i F'AGE.:::: 01
****************************
FERMI : .,. '. "t.l r=°1''I faT.!.1,1111 •t+:$:A•H••!+:..1?'til•til•tic tik•F'.i,:.'P:•-F:tik i+:-ri•M'•ti+:•P:•*til••P:1!.•
SITE STREET= 12113 E 38TH AVE PARrFi...O=: :'3541 —9004
ADDRESS= SPOKANE WA 9920A
PERMIT USE= SEWER CONNECTION — II:F.DIi...ONEE 6TH ADD "» (91S-122 )
ti;:.. SEE NOTE:: �3 ;,:ti+:
PLAT4= t,tyC) 26 PLAT NAME= I IJ 1ii:1_ti?'IE:: 6TH ADD
BLOCK= 6 LOT= .'. ZONE= UR-3,.5 DIST-•-=
AREA= I ,/A::- F WIDTH-- :l4 DEPTH= 130 R,/W-:: 50
,= ._. MtC'IDEEI...
:°: OF 1.:�1_I)CY;�::- :H: DWELLINGS= 1 WATER DIET ....
OWNER= IRONWOOD HOMES DEVELOP CORP PHONE= 509 922 4141
STREET= F= Ci BOX 141291
ADDRESS:-: SPOKANE WA 99214
CONTACT NAME= JIM STEBLAJ PHONE NUMBER= 509 922 4141
BUILDING SETBACKS : FRONT-:: NA LEFT= ?'4A RIGHT= NA REAR::- NA
tik til'.til it••il•tib:i+:.•....P:.•.til•.tii:.'•i+:..i!'***){• SEWER PERMIT .. h tit4.b.M$ lP.*..AF ti .} .9 i.
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CONTRACTOR= IRONWOOD DEVELOPMENT COPHONE= 509 922
4f14I'i
STREET= F:= rl BOX 141291
ADDRESS:. SPOKANE. WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEEY I 0.. 0
SEWER CONNECTION 'I 410. 00
.. SUMMARY
7t'X-.R..'�'til•..)l•til.til•.$•..tik'il•'P'tii..tii•.til•'N••Yl'P•.YE•. I'' E.Fa T P'I I::.�i ..ll•tit"F:til'.til•'H:'ti4'P:.ti+:T:Jl•.P:.tir'tii-A:'il-'P:1l•}+•til'til•ti+.•
PAYMENT DATE RECEIPT,: PAYMENT AMOUNT
12/06/91 927i 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50,00 .00
50.00 (,. ,() .00
PROCESSED BY : WFNDEL... , GLORIA
PRINTED BY : WENDEL., GLORIA
SEWER ETUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF ; EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456»-8000)
SEWER STUI:c > ARE TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE
i.tR1:::
THAT THEY ARE CLEAR AND UNOBSTRUCTED 1 Ii THE SEWER MAIN
'il'*.. : :•il'til•. CALL FCI R INSPECTION PRIOR »I•Cl COVER til•..til•.ti;:til•...
tiE.tit•tie.it•tir iF tit• 24 HOUR NOTICE FtI:E..,t...t.Ft;t-.ji .til•)l•..!l'.tik.R•
............. 456-3604
•1R•�••,+:•P:•P:•R•1l•til•'N: tq 5�}....36+,;1 4 A•&A tit•}l•P•A:*tt$:•
tii.,Y ti+;tit'it'ft tit''il'ti4 i+:N'til'til til K•*•til'iL ti+:tit'!t.9l tit 11"11 9F 4t tiS tit.94 THANK (I,- t,t tit til P'it tE..tit A.tiE 9i.tik'tl it til..til tit'.til...tit 9L=til it tit'ti!'ti+
A
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/CRR
• • Easements
Road Plansflmprovements
Bonds_
Planning
_ _ _---___--- — Bonds
Utilities Double Pluntibing.-
ULID _ ... ...
•
Other ;
*'****— *******' '''THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATE OF OCCUPANCY ONLY"***"*****"'""""*"*"""'">'
Date received for C/O processing: Plans pulled for final prode5ing.,
Temporary 0/0 issued: Certificate of Occupancy issued:
Office file reviewby __•____ • Date
Filed insp finaled by:� �_ Date: .
Ninety days after 0/0 issuance:
Owner/contractor called regarding`the'retutrri 6f plans: ` • �W . C7ate. -----___.---
Plans returned: ----------._______--____-- —__ _ --___ . Received by:_-----------------------__-_-- -------------_--_-----------___--
No response from owner/contractor-plans destroyed:_. ------_-_-____-- _—�