1990, 10-01 Permit: 90004561 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1'BROA0WAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this wmm/vunnnounon state that uhomm,m�mnoonmmoumuunuau»m/�muvmoonnv�n
�novomn000amn permit/application true
and correct, andauthorizea x County m permit/application,
In addition1 have readand 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= 90004561 DATE :-..—..:
IJ%UFT) PERMIT
**************************** PERMIT INFORMATION ***************************v -
SITE STREET= 2609 % BOLIVAR RD PARCFL4= 26543-0931
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — EVERGREEN POINT 3RD ADDITION
*** %EE•NOTE ***
PLAT4= EVER3 PLAT NAME= EVERGREEN POINT 3RD ADD
BLOCK= 10 =i ZONE= EER DI%T4= F
AREA= 00000000 = F� WIDTH= 96 DEPTH= 125 R/W= 50
4 OF BLDc%= i 4 DWELLING%= i
OWNER= W R % & ASSOCIATES INC PHONE= 509 922 0782
STREET= P O BOX i4084
ADDRESS= SPOKANE WA 992i4
CONTACT NAME= BILL S';',I.-PiiONE NUMBER= 509 922 0782
BUILDING %ETBACK%: FRONT= NA LEFT= NA • RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= W R E & ASSOCIATEE PHONE= 509 922 0782
STREET= P O BOX 14084
ADDRE%%= SPOKANE WA 99214
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
%EWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
09/21/90 • 5709 58.00
TOTAL DUE= DUE= .0O TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
-------- -------------
PROOF
PRI
ED BY: JULIE %HATTO
ED BY: JULIE %HATTO
50^00 50.00 .00
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 RE TO BE H E PRIOR TO CONNECTION TG INSURE
THAT THEYARF CLc �N� AR U'TRUCTED TO THE SEWER MAIN
��B� f
********* CALL FOR
� IN%PE[TIO.. PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************* THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project # USe•
Dept:
Dept. of Bldgs.
Date: Condition:
Engineer's
Special Insp. Final Report
Hydrant (
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning I I Bonds
Utilities Double Plumbing
ULID
Other
Init: Appr:
(in) ( (out)
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY **"***************************
Date received for C/O processing:
Temporary C/O issued:
Office file review by:. Date:
Filed insp finaled by: Date:
Plans pulled for final:processing
Certificate of Occupancy issued'
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.