1991, 03-13 Permit: 90006432 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,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= 90006432 I t -.:iE-t-i PERMIT
iif-iiE:: ,03/ 1 :.f)/9.1 PAGE- 01
.. .......... ..... ..... ..... ... ... ....1 .. ,:.} 7 . M .y.. ..
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SITE STREET-
.,: .11 `'0 E: SAI... { E::..':•t::. •A R I.•E E...u:- 27541 -2024
ADDRESS= SPOKANE ANE WA 99706
PERMIT USE:::: SEWER CONNECTION .... 8801
p p'p SEE NOTE. -••r.'*
±''I...t`l T,I: : 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK- :r LOT- 5 ±r-,IE "f;;.,C'1.i :i DIETO=
AREA= 00000000
1: y; 00; I ;A : fWIDTH= ?
EEIE = R/W=
.11. OF , " r DWFI i INGE= WATER DIET -
OWNER-
SWANSON, •_JACK, PHON±::.
STREET= -1 .h'I 0, t A I... l E,::E AVE
t`�"i:;?:iE�tE��:'_.. SPOKANE WA 99206
CONTACT NAME= CAROL . TOM r
I% NjPHONE
•" 1 E NUMBER=
IMIF =
50 92O7710
BUILDINGSETBACKS : FRONT- dA LEFT= 3RIGHT= N( '± R= NA
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CONTRACTOR= TO" STONE EXCAVATING PHONE= 509 928 7710
STREET= 1112 N. l`%±A!"i E.::R RD
j,i
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING l- I'I:::E:.: .t 10 .00
SEWER CONNECTION 1
*********************K********* ,:-. -.... C .... ........ ..*... ...... ...
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PAYMENT DATE E RE::.I_.:I::.I I`1 . PAYMENT Al"lOUr?
03/13/91 1237 50.00
TOT
DUE .00 TOTAL PAID= 50.00
±'I::.F=;l'±J. ± I •f PE FEE AMOUNT AMOUNT PAID AMOUNT I31.4.t.NI,
SEWER .i 50 00 SO 00 .00
Si).:00 50.00 ,00
PROCESSED . JULIE SHATTO
PRINTED I:i Y : JULIE ,r\H A T•T.I.-±
SEWER STUB AS—BUILT INFORMATION{ :I:�' AVAILABLE AT I E"i F COUNTY
UTILITIES DEPARTMENT 1.456--,'r6>, Y)
CONTRACTOR
ON "AC OR „ R APPLICANT
lrLICANT ITO
FIELD
LOCATE AND CONFIRM THE
ELEVATION ) POSITION IF SEWER STUB PRIOR TIANY OTHER
Exi_:AVf l T I I_fN
TO LOCATE fIE1E ) CABLES, T A% PIPING , W^ RLINES, t
. . .
CALL. BEFORE YOU DIG (456-8000)
SEWER STUBS iRE TO BE IrirC<Ei PRIOR Ti CONNECTION TO I
.SI = .
THAT _ { - i t. CLEAR AND UNOBSTRUCTED TiTHE SEWER MAIN
k******** I::c.I...L F..t i E? INSPECTION PRIOR TO i i....I.l ER ;R:A:p p'p• :*ii;1l;A:
n24 HOUR . iuIL —
REQUIRED ***:k******
;.,
*Y: *****************************.,L " t �'I(•i±`J E<; {`±._j{--1 :l?•ie•!t ft 3}P:**:R--+}1?•)?-lY 7!-1;.:1`-tj-]k 1!-t?•:n:*p.},,j...j;..j,..p..A.*.Jr }..Jt,
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
• •, • . : **:
, . .• ,
. . . . . . . . .
Double Plumbing •• • •
ULID
• "
. .
Other
• *
. ,
• ,:• ..•••-•
. . .
. . .
• •
****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCtUPANCY ONLY—****""****"*""************"*
Date received for C/O precessing: • • ;: Planpallecl.foi'final processing:
Temporary C/Oissued: •- Certificate of Occupancy issued
• • •:
Office file review by: Date: • •
Filed insp.firialed 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: