1991, 06-28 Permit: 91003731 Sewer 116,
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w."13.03 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 /----- APPLICATION
OWNER OR AGENT ' — DATE
1
PROJECT `": a, . 91003731 r S 1 :
t PERMIT DATE= 06/28/91 PAGE= .:jl
.............:.::.::.:i.:'.: .......... .... ...... i. r j..j..:. ._±l.-j.. �j..)j..�..4. j..j..j. j.
!:::--i::::'::::•.r,. !.!::!:::::::i:::ar.:s:!:f::;:::::::: , , ,a. i.?#•t:t"tr••s t i;.? •.! �.i. fr,' i.i } it i*ij..}E ii i i ii•ii'??'•ir 7.i.).iY?.
-r 1. ) n !. » i !.•y, ) t 'j'+j'ti n 1 e al 'j ) 1 r !) e a ii +-�,3':#"I.#. � :.' ? �... '•
SITE ElREEI = 12115 E 38TH AVE PARCELO= 33541 -9004
ADDRESS= SPOKANE WA 99206
PERMIT UE?::.:::: SEWER CONNECTION ... M i- •jIt...t..t#'j::. 6TH ADDITION
?`'?..L} t .v.= 005026 PLAT NAME= ..I f1.1.1...i-I P't l::. 6TH j::'t i,l D � -
BLOCK= t:! LOT= ZONE=t2UR-3,5 t1.1_,[`• .,l....' .. .. ..
AREA=
" - .-.:•.!j_.}+r..j'.,r.0 I.. t:: ^'WIDTH= C{ 4DEPTH= •j ';i!:•,i 1•';:';;.1:::: C:•j .
ra�'.I='�t:::: t:i+:::7 t•. .7 7:7 t•'t:::: _
4 OF
BLDGE- •y 4 DWELLINGS= 't WATER DIET _.. MODEL
OWNER=
}jR . I .i ' ; t _ HOMES : _ j » i„:>r ! 2 2
9........ .i;•? 4•#
P 0 BOX 141291
.,Ii STREET= SPOKANE WA 99214
CONTACT
tv a T NAME=^ rrr ^ - v ? PHONE
" ' ER :
:
r _
4144
BUILDING , Eirt : i5FRONT= a- LEF1 = RIGHT= NARE^y : NA
...............j-:,j.-,:.ij.Sj-.i.i:.i,::j-•tj.:;:n,-.:j.:j.:tj.:q.:,:'+.-K•'!+...*
•!+•-!::+k-+::R:-�:'!!:?.,.!.:...j.a:.!. ..Y. :.}.}. .. ..7 i E r•i:j".R i.:'._i^;M,',-t' Pr•A:'!C'/!i'.:i!:ik'R:9+:'Ri.j{.:Pi-ik'i:Pi:!::hi i i 9:1)i 3!i'iR•.ni::•1::'.r.j,..l,.:),..7,:
CONTRACTOR= IRONWOOD DEVELOPMENT CO PHONE=
STREET= P 0 BOX 141291
ADDREEE= SPOKANE WA 99214
ITEM M it?::."t•t.:h':.?.?.: # .t.C:iN QUANTITY FEE?::. t"'3? i,.i l'
PROCESSING t...i::.E:. ( 10,00
SEWER CONNECTION 'I 4.i^ t:i..)
::. •:::,:.:::::::,r.::::.:+:.:'.s:.a•.::::*s:..: ::;.::::.;.'j.:j.:);.;j.:,j.:::�- '.A}';r r.{ 'N_. ':t t M i":A ;'• :..*'1)r i';'x--j*')i'Pi•*;*:***? P•.*';'i•j*'Pi•j!i *R•ik"t••F:•Pi'Ri$);
r. .!,•R:•.A.!+.l+.:•. !+.h,+.d.„ d.!).!1 d.:•.}-:'P.7.11)t!.9.7....... A.. �'(. !,;::.) .... .. ....
PAYMENT DATE R E.0 E:I P T;I:: P rfl;Y ME i'.4 T A M 0 LI WT
06 r'2':...• :>I 4232 ..it,;!,t"it;l
TOTALaiDUE= : TOTAL PAID= 50,00
PERMIT r: r ? . . . AMOUNT hms-: : . PAID „" _ ' ? OWING
SEWER PERMIT "00 50 , 0 :00
50,00 50,00 AO
PRINTED ;:t 7 . i3iENDEL ; GLORIA
SEWER ,TUB ::t,::.... { i t - INFORMATION IS AVAILABLE AT THE i:::t'.?i.j` -;',?:
UTILITIES ,,.a r
456-3604)
11 CONTRACTOR OR APPLICANT .).:', TO FIELD LOCATE t ? E AND CONFIRM THE
ELEVATION r•a#'at! POSITION OF ,'.>t'.:.Wj-.#'t: : ? i.it:t PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE YOU .l.}BURIED( CABLES, f.. PIPING, WATER LINES, ECT ,
CALL tat::.i”i.?#":t::. i.? I G ••.x...;,^,5••--i:„-?t.)t;! r
+..+.,+..+.- STUBS ARE TO y.{`:" CHECKED !'-?",.i.I..)?',, TO CONNECTION TO .i.?'@,:>i.r#":;•:.
THAT # " : Y 1 t iCLEAR, = d vUNOBSTRUCTED i THE EEWER MAIN
});9*:*:n.i+.*•j*•j* CALL t..i?t;; INSPECTION PRIOR TO COVER '3 **•i{'ii'j+:•!i:*-P.}):
)t';?•')t'fi'•tt•:+k rt:!t i+t. 24 HOUR J t t''I:: REQUIRED 1t-a'9i:-1*:)!:t?..1*}t'9;•ps•
41 .j.j.j t....j 1!.. f 5.;.+....3e.")0.Ci -j!*P•j!1 i•et.••j if-i'. ±7.}*
-:•-t+, i i 1) ) t j. ) ; i tis. .... .. ... .
********************************, THANK }i.:k,,. :+t'::f::..)..!.•9.3.::.!±..7!:3 r f:9::t):9h 9F:+.... ..>.'•P.•-P.-ii'.....�)::.9:3:f:
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.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 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 finated by:
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: