1990, 10-01 Permit: 90005017 Sewer• -
SPOKANE 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 /C- —�= DATE
NUMBL
/,`:)///9.�
DATF= 10/01/90 PAGE=
ISSUED PERMIT
:.: !t r: J ! !*!: !, ::: b ?i u ;, r ? ' . ; INFORMATION s*{:**xFr!t*x :r?.tj?n
;..,;
PARCEL4=28542-1017
ADD€•i€::.
SPOKANE WA
PERMIT ;F>,":_= SEWER CONNECTION.. .... Ni.i.1'''€'.€ €<C:1T<C:1 t;s
n: )r* SEE NOTE tr'x••X.•
Pii_n c 001393 P1i NAME= <: <c_•i,'.i E
LOT= AGSUB
AREA- �..:: ;,J!•:%.)i).:J J.:) j•• i t•:t :::: E: WIDTH=
OF t:i3...T?i.rS= 1 6 DWELL_ 'GS=
OWNER= ri..)t,it(-Y.''•'.;:; :.i,ti'{3101
STREET= 1607 11- €'i t: 3::. €"` T.}
ADDRESS= SPOKANE WA .
CONTACT NAME,- .-!IM N E€...SE•J
30 . f
PHONE NUMBER ':t': _' 6077
NA. BUILDING SETBACKS: I- E.= 3:,? #`�€ •i .... , �d i•$ 3... €::: E� •' ... j••j (.:, RIGHT= •J i•:; REAR= t'�) r•`•'t ..
s..........+,.:...j..:::::,.: ::.;::::•.a;:; •,.:...l,..::::••:,;:;:t; i}: +: .. ,..E M,•- ...... . ........ .. .................
.+: �• •x n• •n: ; n } >! r+ r+ r !+ +} n r? + r+ 3 n i? n x ! n ! .. 1:'.11 {::. €•{ t' ' i::.: ': ?"? t, j •n: •n: •n: 3i• ;+: 7t• �n: •'!{ �: •i;: 3i• ii• n: it •n: •!+: •!+::i .j,..u..j...P: •n: •n: n: •n: •n::++: �c n:
ADDRESS= SPOKANE W (ht
ITEM. DESCRIPTION
PROCESSI—
.:` €:::VSE:. €';` TION
QUANTITY
PHONE= 509 924 6077
e' .v E AMOUNT
00
?t •Pi 'ni 'r;• 'Pr )t +i t+i * 'P! •Pi •P• •ii •i+i ••P: •Pi •i+i •j+i ': •Pi * 7+i •Pr .ni :'!• •Pi * i+ti Pi iG G €.' A Y 1"# !::, t'`} ? :.'• .. M M f t P •ttr 7$ Pi •i`i * •A •Fr •i+i 'i1• N: i++i :,+i .Pi .ji..j+i .j+i in..ik 'P:• ?h :ti' •i}: •ik 1{ +: 7!i 'R•
PAYMENT DATE RECEIFiw
10/01/90 6010
tuiAL DUE= lucAL PAID=
PERMIT i t #' .... FEE AMOUNT t••'tt``tt..)t_?#''.# PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
PAYMENT AMOUNT
50,00
€"'RC3CE",':`; `3":)_}
SEWER
U 1 .€. €....€..}.I:
50,00 50.00 .00
SHATTO
AS—BUILT INFORMATION AVAILABLE AT THE COUNTY
DEPARTMENT (456-3604)
## RAt.:. OR OR TCANT .1,' TO FIE LOCATE E:. AN%i CONFIRM THE_.
TC) LOCATE BURIED C;tiE€...ES, GAS PIPING, ij'tf•rR LINES, ECT,
CALL BEFORE YOU t i) ' •t'+} '.';ltr:
THAT THEY
................*
iE ii'*:+i•* it-*•ji•*.
A********
!' ! R €::. TO BE E:. 3_,€•'€ :.CKE::ct PRIOR f c) i :: O ?'•f 1•, E:. t; [ 1, t.:1 i` 1 f • t €. ?`•1:' ` l..I Et° r_:•
(''t s' :. 1: €... E:. A R° A N Ej UNOBSTRUCTED r .,.1..? THE €: :i €::.14,-, 3MAIN
CALL ?._ _ !
INSPECTION
. . ? ? PRIOR .
,1..1 K :{ nnPiN ihjYa
2� HOUR NOTICE R, ; {_;
7!- N• i?• 9?• 4k 9t 9$ •!t 9k je.
456-3604 •Pi •Ai •'n.• ni'jt.*.i+:• R •i(..0
k * * h• * N• t!• M..j,.:r(..j(.:J,.:J(..j(. ,,F. j!..jt, jt : S.: i• ;,¢ : }.. r : ,, : (. • ti • }.: ,. • ..::: i++: 1:• THANK . •_u - .
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Project # Use:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning ( Bonds
Utilities
Other
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.
Filed insp finaled by.
Date:
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: