1990, 09-21 Permit: 90004480 SewerSPOKANE 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 S okane County to proceed with processing. In addition, / have read u 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
PROJECT NUMBER= 90004480 DATE= 09/21/90 PAGE= Oi
ISSUED PERMIT
****************************
PERMIT INFORMATION **********»*****************
SITE STREET= 916 % BANNEN RD PARCEL4= 23543-0733
ADDRESS= SPOKANE WA 992176
PERMIT USE= SEWER CONNECTION - DRY LINE SEWER ONLY
*** SEE NOTE ***
PLAT4= 004169 PLAT NAME= %P-400
BLOCK= LOT= ZONE= %FR DI%TO= F
AREA= F/A= F WIDTH= 76 DEPTH= 140 R/W= 50
OF BLDGJ= i 4 DWELLINGS= i
OWNER= WESTERN CON%T & DESIGN INC PHONE= 509 466 MAO
STREET= P O BOX 3382
ADDRESS= SPOKANE WA 99220
CONTACT NAME= ABLE EXCAVATING PHONE NUMBER= 509 325 3645
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ABLE EXCAVATING
%TREET= 2304 W BRUCE AVE
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION
PHONE= 509 325 3645
QUANTITY FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****"***********************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
09/21/90 5714 5O.00
------------
TOTAL DUE= AO TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCE%
PRIN
D BY: JULIE %HATTO
D BY: JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (45/-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,
1
CALL BEFORE YOU DIG (45"-8OOO)
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
Dept:
Dept. of Bldgs.
.71
Engineer's
Planning
Date:
* A A * * * * * * • •A•
Utilities
2.6.• -A .*
Other
A."*.*:* •"""
Condition:
Special Insp, Final Report
Hydrant ( )
Lock Box
OcS:.EACP
Init:
(in)
ivi I ;
Appr:
(out)
A' ,1i I Y . A*** -;11 *
RID/CRP
EasemePts...t• • • •
Road Plans/Improvements
Bonds
aq WROViAg
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Bonds
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Double Plumbing
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,
Date receivedlOr:C/Cl'iProoeaingli.:: T
T
Temporary C/O issue4-,, A A...0;
(.1. •;"PlerlS•ipu'lta41 fq nat:y01,!litAg
711-1 cj 1.:11.1
91 . ! r f ;1-7-; 41 ■ , ..11, •.it.* A
Office file review by: 4.11'. 4.4y.
A A. 4
Filed insp finaled by:
* A * A
Date:
*4 4 A-* A * .A A * .** A** * 0 A 1.1":' w: **A** * :c 4-* • * 4 •* * * *
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans: Date.
Plans returned: Received by
No response from owner/contractor - plans destroyed: