1990, 11-06 Permit: 90005766 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 Svxu County to mm with processing. In addition, / 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 subseUent 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 ADAPPTLEICATION //6h,
OWNER OR AGENT
` ^ /
` ! -
PROJECT NUMBER= 90005766 DATE= i1 /06/90 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2512 % PROGRESS RD PARCE14= 26544-0230
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION
*** SEE NOTE ***
PLATt= 002748 PLAT NAME= VERA
BLOCK= 215 LOT= ZONE= AGRI DI%TO= F
AREA= 00000080 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS=
OWNER= OXENDAHL CONSTRUCTION PHONE= 509 924 5961
STREET= PG BOX 14394
ADDRESS= SPOKANE WA 99214
CONTACT NAME= STANLEY OXENDAHL PHONE NUMBER= 509 924 6961
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONT = STANLEY OXENDAHL PHONE= 509 924 6961
STREET= P O BOX 14394
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y iO.00 —
SEWER CONNECTION i 4O.00
****************************** PAYMENT SUMMARY ****************************
PAYMENT »ATE RECEIPT4 PAYMENT AMOUNT
11 /06/90 7041 50.00
------------ `
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.80 50.00 .00
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : WENDEL, GLORIA -
FEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
TR D� ���' I�M�TT� -� -I�LDBL���T� �^D ~�NFT�� HE
ELEVATION AND ru�� / In OF SEWER � � urRIOR / u AN). OTnER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT ,
C�LL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N B%TR ED 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: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box •
—_--
Engineer's RID/CRP
Easements
Road Plans/Improvements
Bonds
•
•
Planning Bonds
•
Utilities — Double Plumbing
ULID
•
Other
•
•
•
•
•
•
•
*******************************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:_