1990, 09-27 Permit: 90004905 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 perm it/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= 90004905
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t`:tT:jilic.,... ,':.. ,;'I:7;::WANE WA 99
PERMIT USE.- SEWER CONNECTION -- 0801
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±•• L.. r•'t i •,,. — 001'382 ,.:±...r••, (NAME= KIMBERLY
BLOCK=— LOT= T'= '1 ZONE= AGSUB I.i:l: `;'•r4::::
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OWNER= MC GOVNEY, -R J PHONE
ADDRESS= SP IKANE WA 9920/:.
CONTACT NAME= LEONARD .... H & ,:: PHONE NUMBER= :>i:;{r
BUILDING E t::. ± B (••t (: i<; E : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
DATE -09/27/90 PAGE= 01
ISSUED PERMIT
*******K******************
8964
} N p::pyxppi i i nnyni y b ; nn : : py)aSEWER : : R . lK.11•i )3NN))i))i i 'i Ni ) i „ 3 i i tt)T)i
CONTRACTOR= ;1 & <:: CONSTRUCTION
ADDRESS= :"= POi;t•`•tIIF.:: WA 99206
1:TE::M DESCRIPTION
PR SING FEE
SE:WE CONNECTION
QUANTITY
PHONE= 509 926 8964
FEE AMOUNT
10.00
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PAYMENT DATE
09/27/90
TOTAL I}i.II::::::
PERMIT TYPE
SEWER PERMIT
RECEIPT4 PAYMENT
5929 50:.t +.I•)
TOTAL PAID- .50..0
FEE AMOUNT T :i1Ot.JNT PAID AMOUNT OWING
50,00 50,00 „00
PROCESSED : t ) _ Jtl 7 nT T 4
PRINTED
BY: : ..I 1._11...:1: E:: EHATTO
°1.::Wl.::R TUB (:1..,BUILT INFORMATION RM(';TION TE( AVAILABLE AT. THE COUNTY
U T a 1....E ±' t::.:S. DEPARTMENT(456-3604)
CONTRACTOR OR AFF:,L_:EC'ANT :F.,> TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND ; (;,';':E•T:E(:ii'; OF SEWERE'i"iif; PRIOR • O ANY :1TFii=:1
EXCAVATION
TO LOC'AT'E:: BURIED CABLES , (:; A S PIPING, WATER LINES, ECT,
1..:(`t1...I... BEFORE YOU DIG { '`•{5 -8000)
)
SEWER STUBS ARE TO BE ±..:F11:::UE:I:i PRIOR TO CONNECTION TO :INSURE
THAT THEY ARE CLEAR TP
:+e h:• •n: •h:..)i .)t. ii .)t.:u. CALL •• .1 t: INSPECTION PRIOR TO t f .f jv±::.±^; :K• * yt. yt :},:.W ii .h:. *.)i.
R• ' 3i• )i• R• )t 3F 3i• 3i•
'
. HOUR
_IY NOTICE
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SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
Condition:
Project # Use:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit:
(in)
Appr:
(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: