1990, 10-01 Permit: 90004508 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, a u authorize Spokane County to proceed with processing. In addition, / have reaand 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= 90004508 • DATE= 10/01/90 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2524 s BOLIVAR CT
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION
• *** SEE NOTE ***
PLAT4=
BLOCK=
AREA=
OF BLDG%=
OWNER=
STREET=
ADDRESS=
EV 3 PLAT NAME=
i LOT=
00000000 F/A=
4 DWELLINGS=
W.R.S. ASSOCIATES
POB 14084
SPOKANE WA 99214
CONTACT NAME= BILL SMITH
BUILDING SETBACKS: FRONT= NA
PARCEL4= 26543-0931
EVERGREEN POINT 3RD ADD
i ZONE= SFR DI%T4= F
F WIDTH= 95 DEPTH= 135 R/W=
i
PWINE= 509.922 O782
PHONE NUMBER=
LEFT= NA RIGHT= HA
***************************** %EWER
CONTRACTOR= W R
: -
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
PrPMIT
REAR= NA
*****************************
ITEM DESCRIPTION QUANTITY
----------------------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT %UMMARY ****************************
FEE AMOUNT
PAYMENT DATE
iO/Oi/9O
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
PERMIT
6017
.00 TOTAL PAID=
AMOUNT PAID
50,00
50,00 -----------
5O.00
FEE AMOUNT
-----------
58.0O
-----------
50.00
50.00
50.00
AMOUNT
AMOUNT OWING
------------
.00
------------
.00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3684)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO AN; OTHER
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPING,
CALL BEFORE YOU DIG (45�-8000)
SEWER STUBS ARE TO BE CHECKEDR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T D 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.
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
Init: Appr:
(in) I (out)
******************************* 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 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.