1990, 10-01 Permit: 90004097 SewerSPOKANECOUNTY 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 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= 90004097
DATE= E:::. 70,•,';a+#ii+•'` PAGE= }:;, •j
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SITE STREET= .:....} ?;J ; } BOLIVAR CT .: f3 e''•: #.: !:_ #... 4= .. ... ... t.3 i : ,,: t-' _ :`d
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:. 9 9077
PERMIT
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F: , .: • r• NAME= r.. , , ^ r-..^, r., r.. r.. • . POINT
WIDTH= 51 DiEPTH, 133 ,••. .
DWELLINGS -
OWNER= $..E+ ,s A ,: ; f .i f:: 1. A-1 , E ,
STREET= POB 14084
ADDRESS= ET.s(:il<:rir4E:: WA 99214
CONTACT
NAME= BD! SMITH
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SS= SPOKANE -
99214
ITEM DESCRIPTION
i:: E::''SING F E E::
•'r t/ i' :`•i'NNEis"1 :i: i::ii`.I
PHONE NUMBER= 509 _''....... 0752
RIGHT= HT= NA REAR= NA
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PHONE= f"•
Ht:,iNE :: ':!:1?` 0752
QUANTITY FEE AMOUNT
10.00
40.00
............. ...... ..... pA'+i �: :. N .., •;: .,}:1 'n 'n i i r i r i i i 'ti
•}: •P::+: •1+: 'P.}k '}F P: 7:: 3k 9i•.k i?"1!"A: fl' •S: •il: •n:.p:. .li. .ty:.�..}!• :nt .ji. .j!..}C .k 'A: li I" o-. .. t E• ! i 1.1 !`'# �'# .ry I'i P: •.: ;i• a tV•'ft s4• t: ;"•i :; .: ii -'P: P: a'.i'.: .:.: .: a.:.•'r.: '1: '.: 'A:
PAYMENT
r.::,r:' i.,_ t., F .T E REC,._.,. ..,.:-.x. ,... a y::: AMOUNT' _;..
08/21/90 4891 50.00
TOTAL DUE= . 0'.;s TOTAL PAID= :e::
.00
PERMIT # 7 F:, E: I:. E: E:: AMOUNT AMOUNT F'A.1.._% AMOUNT 4..? . ... tki i,.
SEWER
PERMIT 50,00 50.00 .00
50.00 50,00 .00
PROCESSED BY .• ..i iL..:FE. :>f•If3 I I t„?
PRINTED BY:. ,.i i. i I....I. E:. .;1 i A -i T ^t O
SEWER STUB
rUB A—C I. INFORMATION .' AVAILABLE n TH#COUNTY
UTILITIES DEPARTMENT MEISI# !.4.5.:."R:,;4:
CONTRACTOR
O ,:r:„";'' • ,,` u T `,r.-yF.. ! C:ii.f':'.TE AND CON, -IRM• _, II':.
..: i_i #'� # e; f•4 t.: , 1.:.. APPLICANT . #... J. t.:: •i #' # ''• ! i _.. A•• THE
.
ELEVATION A..t N D I"` [.1.s .E , T t.} rOF t::. tni 1-. I ; ,., , :.. _ T:s t" rti .L [.! R f • o ra r:r Y !..} # t'f E :'
".'AF-1 T 1 t.iN
TO LOCATE BURIED CABLES., f:T A `' PIPING, l,.j :1ii::: ?. LINES, ECT,
CALL BEFORE x OI't DIG (456-8000)
: I : . . + l'r. . . TO BE. CHECKED- PRIOR -TO # 1i . INSURE
THAT THEY A";R1= CLEAR AND UNOBSTRUCTED D 'i O i•i_I1=. ; EWER MAIN
INSPECTION omPRIOR # t.? COVER �. �• •h: n• ai n: tr •r: �+: 'n'
.. 1 24 HOUR �# fi 1 .L `.. #_ REQUIRED ),,•.i' •r.- •r. 1r tr �� •1i•.i-
.i• r: '>r:.i• •1+i •Pi Ri.t Pi 456-3604 'p:.i•.i• * .+i.i• •Ji• a•.i:.i•
:,;.: i.::.:ry.: j.: -.: i. ' }.: •.:,i.: i.: i.: j.: j.: i.: i.: } : i.: ;.: i. A..:};. 3.:}j. ' i.:;.: i.: l ?;. - : }:. i : }.::.: '.:q.:,j.: l :,i..j}..ji. ':.:}?.:}?' %i ..F J i. ?j• i;. 1 i}: i}i• !i' 1 1 :1f• !t• * .; * * *
„...,..7.1.1.1?,. THANK you ). 1. 1. J. 1!,. ,. 1?... .�
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use:
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning Bonds
Utilities
Other
Double Plumbing
ULID
[nit: Appr:
(in) (out)
************** *******************THISSPACE 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 p Y issued*
Office file review by:: Date:
Filed insp finaled by: Date:
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.