1990, 10-01 Permit: 90004509 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 correc and authorize Spokane Co nty to proceed with processing. In addition, / have read and understand m /wupscrmwnsoumsmsmTSuwnr/cc
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
Iaws regulating construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9O0045O9 DATE= 10/01/90 PAGE= Oi
ISSUED PERMIT
PERMIT INFORMATION ****************************
BANNEN CT PARCEu!= 26543-0932PTN
ADDRESS= SPOKANE. WA 99206
PERMIT USE= SEWER CONNECTION - EVERGREEN POINT 4TH ADDITION
*** ***
PLAT0= 004485 PLAT NAME= EVERGREEN POINT 4TH ADD
BLOCK= i5 LOT= 6 ZONE= %FR DI%T4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i 4 DWELLINGS= i
OWNER= W R % & ASSOCIATES INC PHONE= 509 922 0722
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BILL %MITH
BUILDING SETBACKS: FRONT= NA
PHONE NUMBER=
REAR= NA
LEFT= NA RIGHT= NA
**************************** SEWER PERMIT ******************************
CONTRACTOR= W R S & ASSOCIATES PHONE= 509 922 0782
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION. QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ***************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
09/21/90 5699 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 50.00 .00
PROCE%%E
PRINTE
BY: JULIE
BY: JULIE
%HATTO
%HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
LEVATION AND POSITION Or %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINES,
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
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: Date: Condition: Init: Appr:
I I (in) 1 (out)
Dept. of Bldgs.
Engineer's
Special Insp. Final Report
Hydrant ( )
Lock Box
RID /CRP
Easements
Road Plans /Improvements
Bonds
Planning S j Bonds
Utilities
Other
Double Plumbing
ULID
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *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 issbed •-
Office file review by: Date:
Filed insp finaled by: Date:
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: