1990, 09-27 Permit: 90004934 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, 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
Rt.i,.i?:, .•:..f. NUMBER:::. 90004934
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DATE .... - PAGE= t" i•1
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SITE STREET= ; ,.: ! .!. (... i 4 t.• t::. RD :- �: � ... _. � :;'::: •237.;42-00
A:c:':0!'.%:.s,?:::: SPOKANE E WA -
PERMIT UEE= SEWER CONNECTION — 9001
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OWNER=
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ZONE= A f n :`: U
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CONTACT #••ii^AMi:::-:: LEONARD _.._ H. < ,.:•
BUILDING.` E T'BAC:KE : FRONT= :::: PJf"i LEFT= NA
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FEE
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PRO(
PAYMENT DATE
09/27/90
TOTAL f t•.Z... DUZE:^'
PERMIT TYPE
.........................:..........................
SEWER PERMIT
T):,:;:"••(:1:::::
1..
PHONE NUMBER= 509 926
RIGHT= -.. NA REAR= NA
E1964
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QUANTITY
Y
i.li1Mt-'lF Y
PHONE= 509 92A W4)A4
FEE.: AMOUNT
40,00
........................................................
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PAYMENT AMOUNT
50,00
50,00
AMOUNT OWING
.00
i
.00
RECEIPTO
5921 921
TOTAL A?... c..A?.D::::
f!t'il:::ft.iN..{. i::'AisT)
50.00
50.00
FEE Av1MI.:1Ut,.T.
50.00
50,00
U U L.:1 1:. •:.i ....I O
.BI Y : JULIE E i•• A e T O
SEWER ET -UB AE—BUILT INFORMATION IE AVAisi...AFi...E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I E TO FIELD i._ s`.::? f::: TEE AND ; f...: i::1 tJ F' i' i�' i`1 't H E
ELEVATION AND F'f.i ".%•T•:tf:1tJ OF ."EWER ETUB PRIOR TO ANY OTHER
".. )s: C: A ,5� r' ..1. is I"1
TO LOCATE BURIED f::At':{I...1::. : GAE i_,IP.1:!••Jty,•WA i!::i", LINES, i::C.:..,.
CALL BEFORE YOU .DIf,. -6-8000)
;•:,....
.:. ?.•:. F: T iTi ARE TO O EECHECKED
I1CKEo R
iCF 1 O CONNECTION
OJNICTiON TO i
J
itE
ti'THEY ARE CLEAR =J) UNOBETRUCTED i THE SEWER MAIN
Pft* *.jAt:ALL FORINSPECTION'PRIOR TO COVER .tc.ifi;j*A.Na..4l* 24 HOUR NOTICE REQUIRED.
1:**.r•1:•r:.:•Ji)i••i:•3rkis*•i:.:•t:•r•:*k•.:*a:isi:•.:'1?i}::x:•'1:1: THANK you x r nN*
*r.ir * t 4 f. *r.i1 i.e.�..E.
Project
Address:
Dept:
SPECIAL CONDITION CHECKLIST
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: Appr:
(in) (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: