1990, 09-27 Permit: 90004233 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
... : }: j..: i NUMBER= 90004233 y = E= 09/27/90 PAGE=E- i••j
ISSUED:UEi PERI •E•"
.±{..y,.*.p:.y+..n..y{.p:.t(.:y(..i(.j(.*tk ik?k)>.•)i-?i•j±i 7?'!?'•i+i J'i+ 4±r 9!.in. 1.:1::.I"•.t"E T .i.NE o R{v!(.a f ! t i{v **************K*************
SITE STREET= 13318 I:: St::I. .1E.:E" AVE PARCEL4=
:,
ADDRESS= SPOKANE WA 99216
I'E::RM:i:T +.i,'E::::: SEWERCONNECTION -.. :{ 4:j1
**Y.- NO-! E 1:**
PLATO= 001844 PLAT ?riEwOPPORTUNITY
EERT3a: ti (•E::E:;EtAt.:E 3RD ADD
BLOCK= LOT= 9 ZONE= SFR DIET4=
AREA=f•.i:..• 4: 141,: . .. -. ± WIDTH= ,
'P' ..Y::}_•• t •4' DWELLINGS=
OWNER= JONES, :i t`t «'•H;•••a:,::.
STREET= i. ± 9 E:. ,`:f•t 1...T I: ,: E AVE
E':
ADDRESS= SPOKANE WAt 9921 6
f
� NAME- .H ` . NUMBER= « 4r8964
Yrl
BUILDING
,ET8rJK .. F ( N : NA LEFT= h ' RIGHT= AREAR= NF
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CONTRACTOR=
HO• 9. J�'=.'.. I
H •~v SCONSTRUCTION PHONE= :t
STREET= 11817 1::. (i I...I...I::.T W r i•T' A tf ..
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY Y E « IAMOUNT
PROCESSING FEEr' 10.00
SEWER R C:TONNE,._. ± .I.ON
40.00
:• •(.:::i••;.:y::..±.;'•de;:n;.•.:i::±: :n.:•...:,.:,....••.•,.:(.:: «•.:.YME,,T _ ..,.
M''1 R 1 •!± t 1+ , R. ? ?1 a< P n n P P i? A 1 P P /?i?'P 1 P I.:t:+7 rn h:-I'y ( :.}'t,�k"t`,"j(:;•,''( J(..i±:'%t:•F::+(:?E ,;•1±::n:91.:yk..4••iC•A:'!l••i(..iE.ii..i±.:y±:.:li•l+:N:.j±.•I,..i±..P..P:
..I I'i :,p 1-'A-YMEt f AMOUNT
_ ...
PAYMENT DATE 'L. I:'.:.t:
09/27/90 5909 50 . 00
TOTAL i At... DUE:::: .00 TOTAL I AL I-A.I.t;':::: + {:y :•.
PERMIT E I::. AMOUNT AMOUNT PAID AMOUNT
:.71! .i.t`'.t.y
SEWER � ! E ` : f !» : » 1 50.0000 i h : »
i"i
»
:.4:i
50:.4:%4:% 50.00 ,4:y4:i
PROCESSED T3:' : .!'.I`...I'::: ,•, ...........
PRINTED S•'( • JULIE EHA•. _f`:::I
SEWER STUB j.. B AS.-BU.I:! .i. INFORMATION rIiiN ...._ AVAILABLE A l THE 1:.f i. NT
UTILITIES DEE'AP I # E NT (456-3604)
CONTRACTOR OR APPI,ICANT
UI s TO FIELD
LOCATE T N 'i
^ II RM
THE
ELEVATION } ND POETTION OF SEWER ,.r t1PRIOR 10 i: .
OTHER
EXCAVATION
TO LOCATE i:. i:tUI''•:.I.Ei% CABLES ,, iYA PIPING , WATER LINES,.. y F ..,
I::.L: t .:
CALL BEFORE jI•+.t-. r OU DIG 4 45.;!.....C'f?;y?:—8000)
SEWER STUBS i-A E{E:. TO ( I:
CHECKED
.E 'i
PRIOR
Il CONNECTION
INSURE
THATTHEY ARE CLEAR AND UNOBSTRUCTED T . _ ISEWER ' " IN
* k) iHi 9K 1INSPECTION ' {3t < TO COVER : FikkP1kk*
kkk :iy1Jsyj HOUR ' ! L( E REQUIRED ;iii3fy� kk
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456-3604
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you
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SPECIAL CONDITION CHECKLIST
Project
Address: _—__ Project# __Use:
Dept Date: Condition: Init: 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_w
•
•
"'"""'""'*"*""***''**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: _________